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General NPI Number Information
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NPI Number | 1073253225
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Entity Type | Individual
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Provider Name | HANNAH F MARTIN BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1540 COUNTRY CLUB RD
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City | SHERWOOD
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State | AR
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Zip | 72120-5095
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Country | US
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Telephone | 501-753-5459
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Fax | 214-687-9385
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Provider Business Mailing Address
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Address Line | 1540 COUNTRY CLUB RD
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City | SHERWOOD
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State | AR
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Zip | 72120-5095
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Country | US
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Telephone | 501-753-5459
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Fax | 214-687-9385
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-176127
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-68110
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License Number State | AR
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