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NPI Code Detail

MEDICARE: FATME HANAI BCBA

MEDICARE: FATME HANAI 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 AnalystBCBA 1-09-5098CA
2103K00000XBehavior Analyst2443NC

General Provider Information

NPI Number : 1265776967
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATME HANAI BCBA
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 2994 OLD AIRPORT RD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-8738
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 02/04/2026

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