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NPI Code Detail

MEDICARE: HANNAH BARGERON BCBA, LBA

MEDICARE: HANNAH BARGERON BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2106E00000XAssistant Behavior Analyst
3103K00000XBehavior AnalystBA-01304IA

General Provider Information

NPI Number : 1043031321
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH BARGERON BCBA, LBA
Provider Business Mailing Address
First Line : 200 ELFORD CT
Second Line :
City : SPARTANBURG
State : SC
Zip : 29306-3250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 349 EDGEWOOD RD NW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-3649
Country : US
Telephone Number : 312-554-5578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2024
Last Update Date : 08/05/2025

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