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NPI Code Detail

MEDICARE: HAYLEY GREENWOOD

MEDICARE: HAYLEY GREENWOOD
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 Analyst0-03-0854FL

General Provider Information

NPI Number : 1427474865
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY GREENWOOD
Provider Business Mailing Address
First Line : 4575 SE DIXIE HWY
Second Line :
City : STUART
State : FL
Zip : 34997-6826
Country : US
Telephone Number : 866-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 12772 SHAPELL CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-2023
Country : US
Telephone Number : 904-864-7269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2014
Last Update Date : 03/10/2014

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Directions to “ HAYLEY GREENWOOD ” Practice Location

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