Healthcare Provider Details

I. General information

NPI: 1407770480
Provider Name (Legal Business Name): HANNAH MHAIRI INCE BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 NORTH ST STE 115
DANBURY CT
06810-5626
US

IV. Provider business mailing address

65 WEST ST APT 406
NEW MILFORD CT
06776-3552
US

V. Phone/Fax

Practice location:
  • Phone: 203-721-5445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA.002401
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: