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NPI Code Detail

MEDICARE: STE-AIRA HATCHETT

MEDICARE: STE-AIRA HATCHETT
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 Analyst1-22-62921OH

General Provider Information

NPI Number : 1104617091
Entity Type Code : Individual
Provider Name (Legal Business Name) : STE-AIRA HATCHETT
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2785 SOM CENTER RD
Second Line :
City : WILLOUGHBY HILLS
State : OH
Zip : 44094-6501
Country : US
Telephone Number : 216-278-0288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 02/17/2026

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Directions to “ STE-AIRA HATCHETT ” Practice Location

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