Provider Demographics
NPI:1427651918
Name:ABBOTT, HALEY MARIE (RBT)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MARIE
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MARIE
Other - Last Name:ODEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:830 TENDERFOOT HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7372
Mailing Address - Country:US
Mailing Address - Phone:888-611-0870
Mailing Address - Fax:888-714-4996
Practice Address - Street 1:17319 SAN PEDRO AVE STE 510
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1444
Practice Address - Country:US
Practice Address - Phone:888-611-0870
Practice Address - Fax:888-714-4996
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-23-65728103K00000X
TXRBT-20-145093106S00000X
TX5887103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician