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General NPI Number Information
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NPI Number | 1750946620
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Entity Type | Individual
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Provider Name | HANNAH PENDLETON BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 9038 CROSS PARK DR STE 105
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City | KNOXVILLE
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State | TN
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Zip | 37923-4729
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Country | US
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Telephone | 865-394-6612
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Fax | 865-315-7014
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Provider Business Mailing Address
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Address Line | 9038 CROSS PARK DR STE 105
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City | KNOXVILLE
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State | TN
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Zip | 37923-4729
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Country | US
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Telephone | 865-394-6612
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Fax | 865-315-7014
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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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-21-186284
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License Number State | TN
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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 | LBA1129
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License Number State | TN
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