Individual
HEATHER HACKETT-HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
368 GUIBOR CT NW, KENNESAW, GA 30144-3816
(610) 780-0364
(678) 324-1792
Mailing address
368 GUIBOR CT NW, KENNESAW, GA 30144-3816
(610) 780-0364
(678) 324-1792
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-4891
GA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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