1689901605 NPI number — MS. MARILEE STAFFORD HAYMAN BCBA

Table of content: MS. MARILEE STAFFORD HAYMAN BCBA (NPI 1689901605)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689901605 NPI number — MS. MARILEE STAFFORD HAYMAN BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYMAN
Provider First Name:
MARILEE
Provider Middle Name:
STAFFORD
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
BCBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689901605
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3062 TERN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEARWATER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33762-4555
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-455-3923
Provider Business Mailing Address Fax Number:
727-572-8265

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3062 TERN WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEARWATER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33762-4555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-455-3923
Provider Business Practice Location Address Fax Number:
727-572-8265
Provider Enumeration Date:
11/11/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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