Blackstock, Hailey
Blackstock, Hailey is an individual health care provider with primary practice located at 1389 Weber Industrial Dr , Cumming GA 30041-6468. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Blackstock, Hailey can be contacted via phone (770) 886-6204.Contact Information
Primary practice address
1389 Weber Industrial Dr
Cumming GA 30041-6468
Phone: (770) 886-6204
Fax: (678) 261-6421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-17-26951 | Georgia |
Profile Details
| NPI number | 1366951865 |
|---|---|
| LBN Legal business name | Blackstock, Hailey |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2017 |
| Last updated | Sep 27th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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