Healthcare Provider Details

I. General information

NPI: 1538951629
Provider Name (Legal Business Name): HANNAH N HODGE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W LINCOLN TRAIL BLVD STE C
RADCLIFF KY
40160-2047
US

IV. Provider business mailing address

228 EMMANUEL WAY LN
WEBSTER KY
40176-5037
US

V. Phone/Fax

Practice location:
  • Phone: 270-883-5547
  • Fax:
Mailing address:
  • Phone: 270-883-5547
  • Fax: 270-547-3739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: