Provider Demographics
NPI:1033735568
Name:LINARES, HALEY N
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:N
Last Name:LINARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 61 BOX 6141
Mailing Address - Street 2:
Mailing Address - City:IBAPAH
Mailing Address - State:UT
Mailing Address - Zip Code:84034-6004
Mailing Address - Country:US
Mailing Address - Phone:435-840-3231
Mailing Address - Fax:
Practice Address - Street 1:9115 IBAPAH RD
Practice Address - Street 2:
Practice Address - City:IBAPAH
Practice Address - State:UT
Practice Address - Zip Code:84034-6024
Practice Address - Country:US
Practice Address - Phone:435-840-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician