Individual
TINA HADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 E WALNUT ST STE C-120, COLUMBIA, MO 65201-6428
(855) 832-6727
Mailing address
2130 E HAMILTON CT APT A108, REPUBLIC, MO 65738-1548
(435) 218-1417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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