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NPI Code Detail

MEDICARE: HANNAH BURGER BCBA

MEDICARE:   HANNAH  BURGER  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
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1700488269
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH BURGER BCBA
Provider Business Mailing Address
First Line : 13 MOUNTAIN SHADOWS CT
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1828
Country : US
Telephone Number : 303-495-9483
Fax Number :
Provider Business Practice Location Address
First Line : 13 MOUNTAIN SHADOWS CT
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1828
Country : US
Telephone Number : 303-495-9483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 10/15/2024

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