Individual
HALEY DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 GREY FOX LN UNIT 9106, MYRTLE BEACH, SC 29579-4638
(843) 591-5074
Mailing address
1024 GREY FOX LN UNIT 9106, MYRTLE BEACH, SC 29579-4638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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