Provider Demographics
NPI:1700586062
Name:HONEY BEEHAVIOR ANALYSIS
Entity Type:Organization
Organization Name:HONEY BEEHAVIOR ANALYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAYNER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:951-541-3043
Mailing Address - Street 1:10298 S OTTER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-6109
Mailing Address - Country:US
Mailing Address - Phone:951-541-3043
Mailing Address - Fax:
Practice Address - Street 1:10298 S OTTER TRAIL DR
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-6109
Practice Address - Country:US
Practice Address - Phone:951-541-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty