MEDICARE: HANNAH NICOLE ALLEN

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		MO

General Provider Information

NPI Number	:	1659023067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH NICOLE ALLEN

Provider Business Mailing Address
First Line	:	5037 BARTER ST
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-7416
Country	:	US
Telephone Number	:	217-331-8523
Fax Number	:

Provider Business Practice Location Address
First Line	:	5037 BARTER ST
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-7416
Country	:	US
Telephone Number	:	217-331-8523
Fax Number	:

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

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	03/28/2025

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Directions to “ HANNAH NICOLE ALLEN ” Practice Location

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