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NPI Code Detail

MEDICARE: MICHEL HANRATTY MS, LABA, BCBA

MEDICARE:   MICHEL  HANRATTY  MS, LABA, 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 Analyst1-1624536MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11861568107OTHERMA1861568107

General Provider Information

NPI Number : 1366939233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEL HANRATTY MS, LABA, BCBA
Provider Business Mailing Address
First Line : 28 BROADWAY APT 4
Second Line :
City : BEVERLY
State : MA
Zip : 01915-4438
Country : US
Telephone Number : 508-208-1263
Fax Number :
Provider Business Practice Location Address
First Line : 606 E BALTIMORE PIKE FL 2
Second Line :
City : MEDIA
State : PA
Zip : 19063-1751
Country : US
Telephone Number : 610-864-7376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 03/06/2023

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