Individual
HANNAH WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
19-108228
TX
367H00000X
Anesthesiologist Assistant
Primary
789790498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-108228
BACB
TX
Enumeration date
03/10/2020
Last updated
05/22/2025
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