MEDICARE: HANNAH RUTH MOHLER

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		IN

General Provider Information

NPI Number	:	1285567925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH RUTH MOHLER

Provider Business Mailing Address
First Line	:	1617 CARIBOU DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1323
Country	:	US
Telephone Number	:	260-435-0112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 CARIBOU DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1323
Country	:	US
Telephone Number	:	260-435-0112
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ HANNAH RUTH MOHLER ” Practice Location

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