Healthcare Provider Details

I. General information

NPI: 1730651431
Provider Name (Legal Business Name): HANNAH CAPE BERNSTEIN RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH CAITLIN CAPE

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 28TH ST
ANACORTES WA
98221-2484
US

IV. Provider business mailing address

2405 28TH ST
ANACORTES WA
98221-2484
US

V. Phone/Fax

Practice location:
  • Phone: 360-333-5684
  • Fax: 360-230-3272
Mailing address:
  • Phone: 360-333-5684
  • Fax: 360-230-3272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: