Randi Hataway, RBT

NPI #1265162275 in Enterprise, Alabama

Provider Information

NPI Number: 1265162275
Entity Type: Individual
Name: Randi Hataway, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jun 13, 2022
Last Updated: Jun 13, 2022

Practice Location

Address: 1016 BOLL WEEVIL CIR STE 2
City: Enterprise
State: Alabama
ZIP Code: 36330-1317
Phone: (334) 661-7635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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