Griselda Edith Haynes

NPI #1194337170 in Joliet, Illinois

Provider Information

NPI Number: 1194337170
Entity Type: Individual
Name: Griselda Edith Haynes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 20, 2020
Last Updated: Jul 26, 2023

Practice Location

Address: 2118 PEMBRIDGE LN
City: Joliet
State: Illinois
ZIP Code: 60431-7728
Phone: (815) 768-7058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Developmental Therapist	222Q00000X	Primary

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