MEDICARE: HANNAH BERRY

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1477154854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH BERRY

Provider Business Mailing Address
First Line	:	327 MAIN ST APT 2
Second Line	:
City	:	IRWIN
State	:	PA
Zip	:	15642-3444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8865 NORWIN AVE STE 27123
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2769
Country	:	US
Telephone Number	:	866-287-0362
Fax Number	:

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

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

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Directions to “ HANNAH BERRY ” Practice Location

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