Healthcare Provider Details

I. General information

NPI: 1609595461
Provider Name (Legal Business Name): HANNAH COPPES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MARINER BLVD
SPRING HILL FL
34609-5691
US

IV. Provider business mailing address

260 MARINER BLVD
SPRING HILL FL
34609-5691
US

V. Phone/Fax

Practice location:
  • Phone: 800-217-9289
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-229855
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: