Most Relevant Information
Provider Data
| NPI Number: | 1003528647 |
| Provider Name: | KYRAN PHILLIP HAYES |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2022 |
| Last Updated: | 12/14/2022 |
Provider Practice Location
9333 BASE LINE RD STE 290
RANCHO CUCAMONGA
CA
917301300
Practice Location Phone/Fax
| Phone: | 9094412891 |
| Fax: |
Provider Mailing Location
4103 IRISH MOSS LN
SAN BERNARDINO
CA
924070622
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |