Individual
MARY ELISABETH HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA
Contact information
Practice address
345 FERRIS AVE, RUMFORD, RI 02916-1033
(401) 339-0220
Mailing address
345 FERRIS AVE, RUMFORD, RI 02916-1033
(401) 339-0220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10-07-3808
—
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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