Healthcare Provider Details

I. General information

NPI: 1780388330
Provider Name (Legal Business Name): THE HAYES PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 BASE LINE RD STE 290
RANCHO CUCAMONGA CA
91730-1300
US

IV. Provider business mailing address

9333 BASE LINE RD STE 290
RANCHO CUCAMONGA CA
91730-1300
US

V. Phone/Fax

Practice location:
  • Phone: 909-304-1353
  • Fax:
Mailing address:
  • Phone: 909-304-1353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAKEYSHA COBBS-HAYES
Title or Position: CEO
Credential: M.A, BCBA
Phone: 909-701-1873