Most Relevant Information
Provider Data
| NPI Number: | 1003438565 |
| Provider Name: | HAILEY HINDERMAN RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-116990 |
Most Important Dates
| Enumeration Date: | 05/07/2020 |
| Last Updated: | 05/07/2020 |
Provider Practice Location
740 E GENERAL STEWART WAY STE 103
HINESVILLE
GA
313132636
Practice Location Phone/Fax
| Phone: | 8773212899 |
| Fax: | 8775400182 |
Provider Mailing Location
740 E GENERAL STEWART WAY STE 103
HINESVILLE
GA
313132636
Provider Mailing Phone/Fax
| Phone: | 8773212899 |
| Fax: | 8775400182 |