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NPI Code Detail

MEDICARE: HANNAH ROSE AZZANO M.ED, BCBA, LBA

MEDICARE: HANNAH ROSE AZZANO M.ED, BCBA, LBA
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 Analyst

General Provider Information

NPI Number : 1295386829
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ROSE AZZANO M.ED, BCBA, LBA
Provider Business Mailing Address
First Line : 1718 SHERWOOD DR
Second Line :
City : ANNA
State : TX
Zip : 75409-4212
Country : US
Telephone Number : 480-577-1096
Fax Number :
Provider Business Practice Location Address
First Line : 800 N WATTERS RD STE 120
Second Line :
City : ALLEN
State : TX
Zip : 75013-5346
Country : US
Telephone Number : 469-804-6494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 06/06/2021

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