Healthcare Provider Details

I. General information

NPI: 1639628522
Provider Name (Legal Business Name): HANNAH LAVIANA B.C.B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 HEATHER GREEN CT
OCOEE FL
34761-4721
US

IV. Provider business mailing address

2054 VISTA PKWY STE 240
WEST PALM BEACH FL
33411-6742
US

V. Phone/Fax

Practice location:
  • Phone: 808-489-2521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-15-07338
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: