Provider Demographics
NPI:1720714496
Name:HAYES, BAILEY M (RBT)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MISS
Other - First Name:BAILEY
Other - Middle Name:M
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:13601 N LITCHFIELD RD STE 124
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-4260
Mailing Address - Country:US
Mailing Address - Phone:623-322-8250
Mailing Address - Fax:
Practice Address - Street 1:13601 N LITCHFIELD RD STE 124
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-4260
Practice Address - Country:US
Practice Address - Phone:623-322-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician