Individual
DIANA ELAINE HAFELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, BCABA
Contact information
Practice address
1704 NORTH RD SE STE 2, WARREN, OH 44484-2958
(330) 856-4111
Mailing address
1704 NORTH RD SE STE 2, WARREN, OH 44484-2958
(330) 856-4111
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-10735
OH
106S00000X
Behavior Technician
RBT-16-24378
OH
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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