Madera, Hannah

Madera, Hannah is an individual health care provider with primary practice located at 258 Midland Ave , South Amboy NJ 08879-2505. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Madera, Hannah can be contacted via phone (732) 439-5613.

Contact Information

Primary practice address
258 Midland Ave South Amboy NJ 08879-2505
Phone: (732) 439-5613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-45692 New Jersey

Profile Details

NPI number 1922600576
LBN Legal business name Madera, Hannah
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2020
Last updated Nov 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922600576 NPPES
New Jersey Other 1-20-45692 BACB

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