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NPI Code Detail

MEDICARE: HANNAH HOLLAND RBT

MEDICARE: HANNAH HOLLAND RBT
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 AnalystRBT-16-25481NV

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 : 1265976427
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH HOLLAND RBT
Provider Business Mailing Address
First Line : 7281 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1592
Country : US
Telephone Number : 702-870-7050
Fax Number : 702-870-7616
Provider Business Practice Location Address
First Line : 7281 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1592
Country : US
Telephone Number : 702-870-7050
Fax Number : 702-870-7616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2016
Last Update Date : 12/07/2016

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Directions to “ HANNAH HOLLAND RBT” Practice Location

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