MEDICARE: CHRISTINE NEESE HAYS BCBA

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1598230401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE NEESE HAYS BCBA

Provider Business Mailing Address
First Line	:	4508 N WEBER ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4340
Country	:	US
Telephone Number	:	251-300-9396
Fax Number	:

Provider Business Practice Location Address
First Line	:	5540 N ACADEMY BLVD STE 160
Second Line	:
City	:	COLORADO SPGS
State	:	CO
Zip	:	80918-3665
Country	:	US
Telephone Number	:	719-368-8680
Fax Number	:	719-368-8680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2018
Last Update Date	:	10/06/2018

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