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NPI Code Detail

MEDICARE: HANNAH EBERHART BCBA

MEDICARE: HANNAH EBERHART 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 Analyst

General Provider Information

NPI Number : 1417531120
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH EBERHART BCBA
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 STUART RD NE STE 2
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4959
Country : US
Telephone Number : 844-854-1116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2021
Last Update Date : 12/21/2022

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Directions to “ HANNAH EBERHART BCBA” Practice Location

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