Provider Demographics
NPI:1467152868
Name:BUNNELL, HALEY A (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:A
Last Name:BUNNELL
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 GATTIS SCHOOL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-8013
Mailing Address - Country:US
Mailing Address - Phone:512-605-0055
Mailing Address - Fax:
Practice Address - Street 1:3916 GATTIS SCHOOL RD STE 104
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-8013
Practice Address - Country:US
Practice Address - Phone:512-605-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst