Provider Demographics
NPI:1265788723
Name:HAYDEN CONSULTATION SERVICES, INC.
Entity type:Organization
Organization Name:HAYDEN CONSULTATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:805-701-1254
Mailing Address - Street 1:1000 PASEO CAMARILLO
Mailing Address - Street 2:STE. 114
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6021
Mailing Address - Country:US
Mailing Address - Phone:805-701-1254
Mailing Address - Fax:805-445-2926
Practice Address - Street 1:1000 PASEO CAMARILLO
Practice Address - Street 2:STE. 114
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6021
Practice Address - Country:US
Practice Address - Phone:805-701-1254
Practice Address - Fax:805-445-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-04-1834103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty