Healthcare Provider Details

I. General information

NPI: 1184530289
Provider Name (Legal Business Name): HAILEY ELIZABETH KESTER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAILEY ELIZABETH BRADLEY

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 N EIGHT TRIBES TRL
MIAMI OK
74354-1011
US

IV. Provider business mailing address

3137 S TYLER AVE
JOPLIN MO
64804-1588
US

V. Phone/Fax

Practice location:
  • Phone: 918-387-8720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-517171
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: