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NPI Code Detail

MEDICARE: MISS HALEY HASKINS

MEDICARE: MISS HALEY HASKINS
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 Analyst1-20-40728FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770039539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HALEY HASKINS
Provider Business Mailing Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number : 321-258-1298
Fax Number :
Provider Business Practice Location Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number : 321-258-1298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 04/16/2026

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Directions to “ MISS HALEY HASKINS ” Practice Location

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