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NPI Code Detail

MEDICARE: TOSHA HAYES BCBA

MEDICARE: TOSHA HAYES BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBCBA 1-07-3955CA

General Provider Information

NPI Number : 1558605212
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOSHA HAYES BCBA
Provider Business Mailing Address
First Line : 4702 ADENMOOR AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-2302
Country : US
Telephone Number : 714-501-5546
Fax Number :
Provider Business Practice Location Address
First Line : 21515 HAWTHORNE BLVD STE 200
Second Line :
City : TORRANCE
State : CA
Zip : 90503-6512
Country : US
Telephone Number : 714-501-5546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 09/11/2019

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Directions to “ TOSHA HAYES BCBA” Practice Location

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