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NPI Code Detail

MEDICARE: HANNAH DAVIS

MEDICARE: HANNAH DAVIS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1215861612
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH DAVIS
Provider Business Mailing Address
First Line : 2805 S INDUSTRIAL HWY STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-6791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 W MICHIGAN AVE
Second Line :
City : LANSING
State : MI
Zip : 48917-2856
Country : US
Telephone Number : 517-258-0052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ HANNAH DAVIS ” Practice Location

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