Tenna Dawn Hazen
Behavior Analyst in Maryville, MO. Individual provider (NPI-1).
NPI number1164025839
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1164025839
- Entity type
- Individual (NPI-1)
- Name
- Tenna Dawn Hazen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 12045045 | MO | Yes |
Practice location
122 E Lieber StMaryville, MO 64468-2617
Phone 660-582-7113
Mailing address
122 E Lieber StMaryville, MO 64468-2617
Phone 660-582-7113
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Other Behavior Analyst providers in Maryville, MO
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- Jasmine Slocum, LBANPI 1821881590
All 6 Behavior Analyst providers in Maryville · All 299 providers in Maryville
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