Provider Demographics
NPI:1922738459
Name:ROBBINS, HALLEY MEGAN (BCBA)
Entity Type:Individual
Prefix:
First Name:HALLEY
Middle Name:MEGAN
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6229 WRIGHTSVILLE AVE APT J
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3833
Mailing Address - Country:US
Mailing Address - Phone:516-712-7580
Mailing Address - Fax:
Practice Address - Street 1:725 WELLINGTON AVE STE A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7665
Practice Address - Country:US
Practice Address - Phone:516-712-7580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBACB523941103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst