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NPI Code Detail

MEDICARE: HAILI HARTMAN

MEDICARE: HAILI HARTMAN
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 Analyst0133000926VA

General Provider Information

NPI Number : 1407397136
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILI HARTMAN
Provider Business Mailing Address
First Line : 1029 N STUART ST
Second Line : APT. 516
City : ARLINGTON
State : VA
Zip : 22201-4738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 WAYNE AVE STE 675
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-5676
Country : US
Telephone Number : 703-564-1639
Fax Number : 866-857-0246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2017
Last Update Date : 09/20/2021

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Directions to “ HAILI HARTMAN ” Practice Location

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