Healthcare Provider Details

I. General information

NPI: 1174281752
Provider Name (Legal Business Name): HANNAH ASHLEY BALDWIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 KENSINGTON WAY
ABERDEEN NC
28315-3640
US

IV. Provider business mailing address

156 KENSINGTON WAY
ABERDEEN NC
28315-3640
US

V. Phone/Fax

Practice location:
  • Phone: 910-528-8468
  • Fax:
Mailing address:
  • Phone: 910-528-8468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4221
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: