MEDICARE: HANH JENNIE DANG

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	103K00000X	Behavior Analyst	0133005036	VA

General Provider Information

NPI Number	:	1285214122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANH JENNIE DANG

Provider Business Mailing Address
First Line	:	2542 INDIGO DR
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-6519
Country	:	US
Telephone Number	:	727-453-1476
Fax Number	:

Provider Business Practice Location Address
First Line	:	2542 INDIGO DR
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-6519
Country	:	US
Telephone Number	:	727-453-1476
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	04/06/2026

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Directions to “ HANH JENNIE DANG ” Practice Location

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