Individual
NICHOLE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED,
Contact information
Practice address
6320 NEWTOWN AVE, PHILADELPHIA, PA 19111-5609
(215) 753-5799
Mailing address
6320 NEWTOWN AVE, PHILADELPHIA, PA 19111-5609
(215) 753-5799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000745
PA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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