| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HAEGAN KENT | 1730841420 | 2021-12-25 |
Haegan Kent is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730841420. Registration indicates Haegan Kent is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Haegan Kent |
| Practice Office Address | 1320 MAIN ST STE 300 COLUMBIA, SC US |
| Practice Office Telephone | 8774182978 |
| Mailing Address | 500 FAIRWAY DR STE 102 DEERFIELD BEACH, FL 334411817 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
SC |