Provider Demographics
NPI:1578094165
Name:TRONCALE, HAILEY (MA, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:TRONCALE
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 E WOODHURST DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4281
Mailing Address - Country:US
Mailing Address - Phone:417-889-3121
Mailing Address - Fax:417-881-2214
Practice Address - Street 1:1340 E WOODHURST DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4281
Practice Address - Country:US
Practice Address - Phone:417-889-3121
Practice Address - Fax:417-881-2214
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO 2013041484103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst