Shannon, Hayley Celeste

Shannon, Hayley Celeste is an individual health care provider with primary practice located at 2904 Foltz Dr , Edgewood KY 41017-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Shannon, Hayley Celeste can be contacted via phone (859) 795-3000.

Contact Information

Primary practice address
2904 Foltz Dr Edgewood KY 41017-2525
Phone: (859) 795-3000
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 270939 Kentucky

Profile Details

NPI number 1790359552
LBN Legal business name Shannon, Hayley Celeste
Credentials MED, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2021
Last updated Jun 11th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790359552 NPPES
Other 1-21-49042 BCBA CERTIFICATE

Popular Providers