Individual
HANNAH LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26121 US ROUTE 11 STE 1, EVANS MILLS, NY 13637-3283
(315) 221-5101
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-195805
NY
Other
Enumeration date
12/09/2021
Last updated
03/17/2022
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