Provider Demographics
NPI:1043065881
Name:HAIN, PAUL LEONARD
Entity type:Individual
Prefix:
First Name:PAUL LEONARD
Middle Name:
Last Name:HAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-3021
Mailing Address - Country:US
Mailing Address - Phone:650-445-8326
Mailing Address - Fax:
Practice Address - Street 1:21 CHESTER ST
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-3021
Practice Address - Country:US
Practice Address - Phone:650-445-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician