Healthcare Provider Details

I. General information

NPI: 1225495492
Provider Name (Legal Business Name): HANNAH MENDELSOHN M.S., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2016
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 W 190TH ST STE 110
GARDENA CA
90248-4370
US

IV. Provider business mailing address

1411 W 190TH ST STE 110
GARDENA CA
90248-4370
US

V. Phone/Fax

Practice location:
  • Phone: 310-719-3908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-20779
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: