Healthcare Provider Details

I. General information

NPI: 1275462616
Provider Name (Legal Business Name): HANNAH M LONGSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 PIONEERS BLVD STE 10B
LINCOLN NE
68506-5369
US

IV. Provider business mailing address

2700 W PADDOCK RD
LINCOLN NE
68523-7277
US

V. Phone/Fax

Practice location:
  • Phone: 402-487-1777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-532979
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: