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NPI Code Detail

MEDICARE: HAYLEY PALOMARES BCBA

MEDICARE: HAYLEY PALOMARES 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 Analyst1-23-68505

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-23-68505OTHERBEHAVIOR ANALYST CERTIFICATION BOARD

General Provider Information

NPI Number : 1962033340
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY PALOMARES BCBA
Provider Business Mailing Address
First Line : 19406 PRAIRIE CROSSING DR
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46062-6638
Country : US
Telephone Number : 217-303-3486
Fax Number :
Provider Business Practice Location Address
First Line : 8063 MADISON AVE STE 544
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-6001
Country : US
Telephone Number : 848-299-5790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2020
Last Update Date : 01/08/2026

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