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NPI Code Detail

MEDICARE: HAILEY J ATANASIO

MEDICARE:   HAILEY J ATANASIO
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1073466892
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY J ATANASIO
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE
Second Line :
City : GARDENA
State : CA
Zip : 90248-3813
Country : US
Telephone Number : 310-856-0800
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 2391 NE LOOP 410 STE 120
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5675
Country : US
Telephone Number : 210-761-3504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ HAILEY J ATANASIO ” Practice Location

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