NPI Code Details Logo

NPI 1063957389

NPI 1063957389 : HANNAH ALIBERTI BCBA : WEST HARTFORD, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063957389
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HANNAH ALIBERTI BCBA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/21/2016
-----------------------------------------------------
    Last Update Date     |    08/06/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    792 FARMINGTON AVE 
-----------------------------------------------------
    City                 |    WEST HARTFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06119
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-874-1015
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    160 FARMINGTON AVE 
-----------------------------------------------------
    City                 |    FARMINGTON
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06032-1728
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    463
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.