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NPI Code Detail

MEDICARE: HALEY KORNAK

MEDICARE: HALEY KORNAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-26-530899

General Provider Information

NPI Number : 1053244509
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY KORNAK
Provider Business Mailing Address
First Line : 20410 OBSERVATION DR STE 107
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-6419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20410 OBSERVATION DR STE 107
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-6419
Country : US
Telephone Number : 240-937-2005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ HALEY KORNAK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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