Healthcare Provider Details

I. General information

NPI: 1568011179
Provider Name (Legal Business Name): APRIL HANNA MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL WEDEKIND

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27777 INKSTER RD STE 100
FARMINGTON HILLS MI
48334-5326
US

IV. Provider business mailing address

44225 W 12 MILE RD STE C-106
NOVI MI
48377-2640
US

V. Phone/Fax

Practice location:
  • Phone: 248-436-4476
  • Fax:
Mailing address:
  • Phone: 248-277-3005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401001893
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: