MEDICARE: HAILEY ANN HODGES RBT

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	RBT-25-463596	AL

General Provider Information

NPI Number	:	1972480242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEY ANN HODGES RBT

Provider Business Mailing Address
First Line	:	10063 ROCKWELL SCHOOL DR STE D
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-8511
Country	:	US
Telephone Number	:	251-210-8200
Fax Number	:	251-249-9942

Provider Business Practice Location Address
First Line	:	10063 ROCKWELL SCHOOL DR STE D
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-8511
Country	:	US
Telephone Number	:	251-210-8200
Fax Number	:	251-249-9942

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

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “ HAILEY ANN HODGES RBT” Practice Location

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