Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hayden Bryce Threadgill

Individual provider Behavior Technician · NPI 1639991144

Hayden Bryce Threadgill is a Behavior Technician in Pollock Pines, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2804 Romer Blvd
Pollock Pines, CA 95726-9242
Phone: (855) 832-6727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1639991144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 26, 2024
Last updated in NPPESOctober 26, 2024
Certification dateOctober 26, 2024
Mailing address2804 Romer Blvd, Pollock Pines, CA 95726-9242

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