Healthcare Provider Details

I. General information

NPI: 1356969489
Provider Name (Legal Business Name): HANNAH LEIGH DELL MASTER OF SCIENCD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SPRINGFIELD ST
FEEDING HILLS MA
01030-2142
US

IV. Provider business mailing address

47 THAYER RD
MONSON MA
01057-9444
US

V. Phone/Fax

Practice location:
  • Phone: 508-375-3418
  • Fax:
Mailing address:
  • Phone: 413-284-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number3254
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: