Individual
HANNAH RAE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1699 STATESBORO PLACE CIR APT 1109, STATESBORO, GA 30458-1592
(478) 230-8215
Mailing address
1699 STATESBORO PLACE CIR APT 1109, STATESBORO, GA 30458-1592
(478) 230-8215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-305166
GA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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