MEDICARE: HANNAH AHMAD

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
1	106S00000X	Behavior Technician
2	235Z00000X	Speech-Language Pathologist	242008386	IL

General Provider Information

NPI Number	:	1255105375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH AHMAD

Provider Business Mailing Address
First Line	:	2550 N HOLLYWOOD WAY STE 301
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-5025
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 LEGACY CIR STE 100
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1253
Country	:	US
Telephone Number	:	331-249-6626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	06/30/2025

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Directions to “ HANNAH AHMAD ” Practice Location

Language	Start Address	Practice Location

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