Healthcare Provider Details

I. General information

NPI: 1396664439
Provider Name (Legal Business Name): HANNAH ELAINE KURRASCH RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 W ORANGE ST
JESUP GA
31545-0714
US

IV. Provider business mailing address

1316 W ORANGE ST
JESUP GA
31545-0714
US

V. Phone/Fax

Practice location:
  • Phone: 912-385-2927
  • Fax: 912-385-2928
Mailing address:
  • Phone: 912-385-2927
  • Fax: 912-385-2928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2828998
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: