Audri Hayward
Behavior Analyst in Angola, IN. Individual provider (NPI-1).
NPI number1194448522
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1194448522
- Entity type
- Individual (NPI-1)
- Name
- Audri Hayward
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2022
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | IN | Yes |
| 106S00000X | Behavior Technician | – | IN |
Practice location
100 Growth Pkwy Ste F-GAngola, IN 46703-9343
Phone 260-459-6040 · Fax 260-459-6010
Mailing address
5601 Coventry LnFort Wayne, IN 46804-7145
Phone 260-459-6040 · Fax 260-459-6010
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