MEDICARE: HANNAH LEE 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
1	106S00000X	Behavior Technician	RBT-20-115903	OH
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1992554471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH LEE BCBA

Provider Business Mailing Address
First Line	:	150 N MILLER RD STE 150A
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3713
Country	:	US
Telephone Number	:	330-867-2240
Fax Number	:	330-630-3198

Provider Business Practice Location Address
First Line	:	95 EXECUTIVE PKWY STE 100
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-5400
Country	:	US
Telephone Number	:	330-655-0946
Fax Number	:	330-630-3198

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

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	02/18/2026

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