Individual
SIMONE NICOLE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 GALVESTON PL SW APT A, WASHINGTON, DC 20032-2036
(410) 314-6821
Mailing address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 269-2404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
02/28/2024
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