NPI Code Details Logo

NPI 1528634375

NPI 1528634375 : HANNAH JORDAN FELDMAN BCBA : ORLANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528634375
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HANNAH JORDAN FELDMAN BCBA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/02/2021
-----------------------------------------------------
    Last Update Date     |    10/28/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7948 FOREST CITY RD 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32810-2907
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    689-208-2208
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3500 DEPAUW BLVD STE 3070 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46268-6135
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-324-0885
-----------------------------------------------------
    Fax                  |    317-520-8200
-----------------------------------------------------

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

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106E00000X
-----------------------------------------------------
    Taxonomy Name        |    Assistant Behavior Analyst
-----------------------------------------------------
    License Number       |    0-23-14235
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    RBT-21-166986
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    1-23-65871
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

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