NPI 1013512292

Hailey Faith Lane

Practitioner Behavior Technician Broken Arrow, OK

Practice location

Address: 308 N Aspen Ave, Broken Arrow, OK 74012-2205
Phone: (539) 777-0940
Mailing address: 607 E Church St, Wagoner, OK 74467-5306

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Oklahoma →

Registry record

NPI: 1013512292
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2020
Record last updated: 3 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.