Individual
BENJAMIN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 W TRUDGEON ST, HENRYETTA, OK 74437-4027
(918) 650-9500
Mailing address
PO BOX 395, WELEETKA, OK 74880-0395
(405) 380-5233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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