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Individual

MAILTYN HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 720-3383
Mailing address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/12/2022
Last updated
01/06/2026
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