MEDICARE: HANNAH MACCHI

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
1	103K00000X	Behavior Analyst		AZ

General Provider Information

NPI Number	:	1457933327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MACCHI

Provider Business Mailing Address
First Line	:	2025 N 3RD ST STE 300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1486
Country	:	US
Telephone Number	:	520-576-5598
Fax Number	:

Provider Business Practice Location Address
First Line	:	11024 N 28TH DR STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4378
Country	:	US
Telephone Number	:	602-944-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	05/13/2024

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Directions to “ HANNAH MACCHI ” Practice Location

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