Individual
HALEY LAYNE HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR, MA, BCBA
Contact information
Practice address
625 N UNION STREET, KOKOMO, IN 46901-2907
(765) 252-0530
(765) 450-6664
Mailing address
3500 DEPAUW BOULEVARD, SUITE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
31004776A
IN
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-15211
BCBA CERTIFICATE
—
05
—
201225780
—
IN
Enumeration date
12/14/2009
Last updated
11/17/2016
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