Most Relevant Information
Provider Data
| NPI Number: | 1003415746 |
| Provider Name: | MAYA HAILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/23/2020 |
| Last Updated: | 10/23/2020 |
Provider Practice Location
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU
MO
637012171
Practice Location Phone/Fax
| Phone: | 5732715240 |
| Fax: |
Provider Mailing Location
5336 BARTMER AVE
SAINT LOUIS
MO
631123403
Provider Mailing Phone/Fax
| Phone: | 3147049367 |
| Fax: |