Healthcare Provider Details

I. General information

NPI: 1366363491
Provider Name (Legal Business Name): HAVEN HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 SAGEGROVE RD
LYMAN SC
29365-9138
US

IV. Provider business mailing address

738 SAGEGROVE RD
LYMAN SC
29365-9138
US

V. Phone/Fax

Practice location:
  • Phone: 907-406-8113
  • Fax:
Mailing address:
  • Phone: 907-406-8113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE HAND
Title or Position: OWNER
Credential: M. ED., BCBA
Phone: 907-406-8113