Healthcare Provider Details

I. General information

NPI: 1750909321
Provider Name (Legal Business Name): HANNAH ANN SANDS MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH ANN GRIFFITH MA, BCBA, LBA

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 VESTAVIA PKWY STE 2400
VESTAVIA AL
35216-3797
US

IV. Provider business mailing address

200 VESTAVIA PKWY STE 2400
VESTAVIA AL
35216-3797
US

V. Phone/Fax

Practice location:
  • Phone: 312-965-2997
  • Fax:
Mailing address:
  • Phone: 312-965-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-0232-24209
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: