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NPI Code Detail

MEDICARE: HANNAH CLEMENTS BCBA

MEDICARE: HANNAH CLEMENTS BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-18-29691GA

General Provider Information

NPI Number : 1033568027
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH CLEMENTS BCBA
Provider Business Mailing Address
First Line : 740 E GENERAL STEWART WAY STE 103
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2636
Country : US
Telephone Number : 877-321-2899
Fax Number : 877-540-0182
Provider Business Practice Location Address
First Line : 740 E GENERAL STEWART WAY STE 103
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2636
Country : US
Telephone Number : 877-321-2899
Fax Number : 877-540-0182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 06/17/2020

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