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NPI Code Detail

MEDICARE: HANNAH ELISE EFAW M.S., BCBA

MEDICARE: HANNAH ELISE EFAW M.S., BCBA
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 Analyst1-21-52210FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124675798
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ELISE EFAW M.S., BCBA
Provider Business Mailing Address
First Line : 6012 PRINTERY ST UNIT 107
Second Line :
City : TAMPA
State : FL
Zip : 33616-1410
Country : US
Telephone Number : 813-297-3033
Fax Number :
Provider Business Practice Location Address
First Line : 2009 OSPREY LN
Second Line :
City : LUTZ
State : FL
Zip : 33549-9374
Country : US
Telephone Number : 813-768-0711
Fax Number : 813-696-0707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 04/28/2025

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