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NPI Code Detail

MEDICARE: MARTYNA HANNAHS

MEDICARE:   MARTYNA  HANNAHS
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

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 : 1871058768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTYNA HANNAHS
Provider Business Mailing Address
First Line : 1628 E DOROTHY LN
Second Line :
City : KETTERING
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-750-8236
Fax Number :
Provider Business Practice Location Address
First Line : 4134 LINDEN AVE
Second Line :
City : DAYTON
State : OH
Zip : 45432-3043
Country : US
Telephone Number : 937-365-7455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2019
Last Update Date : 06/13/2025

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Directions to “ MARTYNA HANNAHS ” Practice Location

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