Benjamin Haisley
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1043098528
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1043098528
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Haisley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2023
- Certification date
- Sep 17, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 Concord Ave Ste 100Concord, CA 94520-4969
Phone 303-520-7399
Mailing address
1200 Concord Ave Ste 100Concord, CA 94520-4969
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