Most Relevant Information
Provider Data
NPI Number: | 1003485491 |
Provider Name: | HAYDIN MEADORS |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | IN-10215229 |
Most Important Dates
Enumeration Date: | 06/21/2021 |
Last Updated: | 06/21/2021 |
Provider Practice Location
1369 N PACIFIC HWY STE 1369
WOODBURN
OR
970713617
Practice Location Phone/Fax
Phone: | 9713387762 |
Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
Phone: | 8183452345 |
Fax: |