Healthcare Provider Details
I. General information
NPI: 1982190856
Provider Name (Legal Business Name): HANNAH LAHAYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/03/2018
Last Update Date: 08/30/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
130 S BUCHANAN ST
LAFAYETTE LA
70501-5944
US
IV. Provider business mailing address
1416 MECHE RD
ARNAUDVILLE LA
70512-6544
US
V. Phone/Fax
- Phone: 337-769-3413
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: