Provider Demographics
NPI:1932710589
Name:HARBER, HALEY NICOLE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:NICOLE
Last Name:HARBER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4614 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25704-1039
Mailing Address - Country:US
Mailing Address - Phone:304-429-3287
Mailing Address - Fax:304-429-0024
Practice Address - Street 1:4614 WAVERLY RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-1039
Practice Address - Country:US
Practice Address - Phone:304-429-3287
Practice Address - Fax:304-429-0024
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBACB573576106S00000X
WV1-22-62574103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician