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Individual

MRS. HALEY LYNN HUSBAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. ED., BCBA

Contact information

Practice address
5052 LACKAWANNA BLVD., NORTH CHARLESTON, SC 29405-2940
(703) 508-1339
Mailing address
5052 LACKAWANNA BLVD, NORTH CHARLESTON, SC 29405-4524
(703) 508-1339

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/25/2018
Last updated
01/25/2018
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