MEDICARE: HANNAH ELISABETH FAYLER BCABA

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	106E00000X	Assistant Behavior Analyst	0-26-16984	TN

General Provider Information

NPI Number	:	1548118714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ELISABETH FAYLER BCABA

Provider Business Mailing Address
First Line	:	1135 VOLUNTEER PKWY STE 9
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-4658
Country	:	US
Telephone Number	:	423-652-0174
Fax Number	:

Provider Business Practice Location Address
First Line	:	1135 VOLUNTEER PKWY STE 9
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-4658
Country	:	US
Telephone Number	:	423-652-0174
Fax Number	:

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

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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