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NPI Code Detail

MEDICARE: HANNAH ATIENZA

MEDICARE: HANNAH ATIENZA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1205685476
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ATIENZA
Provider Business Mailing Address
First Line : 1975 MC DOWELL RD STE 101
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-6533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1975 MC DOWELL RD STE 101
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-6533
Country : US
Telephone Number : 331-229-8839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2024
Last Update Date : 05/17/2024

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Directions to “ HANNAH ATIENZA ” Practice Location

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