Provider Demographics
NPI:1073334173
Name:MUNRO, HAYDEN MICHAEL (BCABA)
Entity type:Individual
Prefix:
First Name:HAYDEN
Middle Name:MICHAEL
Last Name:MUNRO
Suffix:
Gender:M
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 N 124TH CT W
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67223-6908
Mailing Address - Country:US
Mailing Address - Phone:316-641-0862
Mailing Address - Fax:
Practice Address - Street 1:3251 N 124TH CT W
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67223-6908
Practice Address - Country:US
Practice Address - Phone:316-641-0862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst