Individual
HAYLEY GENNA LATAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PINTA CIR, SPRINGFIELD, MA 01104-1625
(413) 575-0547
Mailing address
50 PINTA CIR, SPRINGFIELD, MA 01104-1625
(413) 575-0547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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