Haille Genella

NPI #1952008062 in Bridgeport, Michigan

Provider Information

NPI Number: 1952008062
Entity Type: Individual
Name: Haille Genella
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Assistant Behavior Analyst
Enumeration Date: Feb 9, 2023
Last Updated: Mar 24, 2023

Practice Location

Address: 6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
City: Bridgeport
State: Michigan
ZIP Code: 48722-9655
Phone: (989) 401-1239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Case Manager/Care Coordinator	171M00000X
Assistant Behavior Analyst	106E00000X	Primary

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