Healthcare Provider Details

I. General information

NPI: 1942123674
Provider Name (Legal Business Name): RODNEY HANKERSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WALNUT ST
LANSDALE PA
19446-1140
US

IV. Provider business mailing address

2906 ASPEN CIR
BLUE BELL PA
19422-3403
US

V. Phone/Fax

Practice location:
  • Phone: 267-263-2246
  • Fax:
Mailing address:
  • Phone: 267-471-7551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: