Healthcare Provider Details

I. General information

NPI: 1700392933
Provider Name (Legal Business Name): HALEY BINKLEY MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2017
Last Update Date: 01/29/2022
Certification Date: 01/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7013 BIRNAMWOOD DR
LOUISVILLE KY
40258-3852
US

IV. Provider business mailing address

109 BLUEBELL CIR
RADCLIFF KY
40160-8733
US

V. Phone/Fax

Practice location:
  • Phone: 502-744-9284
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number274899
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: