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NPI Code Detail

MEDICARE: HANNAH RUTH FRAVALA BCBA

MEDICARE: HANNAH RUTH FRAVALA 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 Analyst1-25-83938

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356910574
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH RUTH FRAVALA BCBA
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD FL 33134
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number :
Provider Business Practice Location Address
First Line : 2000 N ALAFAYA TRL STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4732
Country : US
Telephone Number : 844-244-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2021
Last Update Date : 09/09/2025

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