Individual
MYSTESIA LASAN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 E EVANS AVE, DENVER, CO 80222-5023
(720) 355-1081
Mailing address
4400 E EVANS AVE, DENVER, CO 80222-5023
(720) 355-1081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65000
CO
Other
Enumeration date
03/28/2019
Last updated
05/03/2023
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