Haley Eagen

Individual provider Active NPI Behavior Technician · Trimble, MO

NPI 1902466972 · NPPES record last updated Jun 20, 2019

Key facts

NPI
1902466972
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7055 SW Highway F
Trimble, MO 64492-8201
Phone
(816) 469-5162
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7055 SW Highway F
Trimble, MO 64492-8201

Mailing address

7055 SW Highway F
Trimble, MO 64492-8201

Other providers in Trimble, MO

All providers in Trimble, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.