Hayden Bryce Threadgill

NPI #1639991144 in Pollock Pines, California

Provider Information

NPI Number: 1639991144
Entity Type: Individual
Name: Hayden Bryce Threadgill
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2024
Last Updated: Oct 26, 2024

Practice Location

Address: 2804 ROMER BLVD
City: Pollock Pines
State: California
ZIP Code: 95726-9242
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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