Provider Demographics
NPI:1841729621
Name:FARBER, HAYLEY (RBT)
Entity type:Individual
Prefix:MRS
First Name:HAYLEY
Middle Name:
Last Name:FARBER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5137 JANELL WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3237
Mailing Address - Country:US
Mailing Address - Phone:415-827-6222
Mailing Address - Fax:
Practice Address - Street 1:3031 C ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3326
Practice Address - Country:US
Practice Address - Phone:916-442-2396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty