Healthcare Provider Details
I. General information
NPI: 1306726971
Provider Name (Legal Business Name): HANNAHS GIFT MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2025
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 THAYER CTR
OAKLAND MD
21550-1139
US
IV. Provider business mailing address
43 E 67TH ST
NEW YORK NY
10065-5926
US
V. Phone/Fax
- Phone: 934-226-8825
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YAAKOV
WEINBERG
Title or Position: PARTNER
Credential:
Phone: 934-226-8825