Individual
HAYDEN LEE HEATH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA, LBA
Contact information
Practice address
14864 HARVEY ROAD, TYLER, TX 75706
(430) 235-2089
Mailing address
1815 PINECREST DR, TYLER, TX 75701-5007
(540) 705-6991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-40252
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
3191
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
04/22/2020
Last updated
04/22/2020
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