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NPI Code Detail

MEDICARE: HANNAH ELIZABETH DRAKE

MEDICARE: HANNAH ELIZABETH DRAKE
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 : 1235991399
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ELIZABETH DRAKE
Provider Business Mailing Address
First Line : 2872 SW 13TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-2912
Country : US
Telephone Number : 954-383-7565
Fax Number :
Provider Business Practice Location Address
First Line : 342 W 37TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4326
Country : US
Telephone Number : 786-612-5077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2024
Last Update Date : 01/24/2024

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Directions to “ HANNAH ELIZABETH DRAKE ” Practice Location

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