Hani Hazim, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29554 Issued in CA

Practice address

910 E Main St
Lincolnton, NC 28092-3449

Phone

(704) 748-0616

Fax

(704) 240-9980

NPI assigned

Aug 2, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775

  Behavior Analyst

  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1275188633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923449",
            "telephone_number": "704-748-0616",
            "fax_number": "704-240-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 Riverside Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914232545",
            "country_code": "US",
            "telephone_number": "818-308-6226",
            "fax_number": "818-308-6487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZIM",
        "first_name": "HANI",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-29554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Melanie Harwani, DO
• Zachary Tyler Hatton, DNP, FNP
• Lauren Haynes, FNP
• Regina Bell Haynes, MSW, LCSW
• Caroline Hayton
• Maggie Elizabeth Heafner, MA, CRC
• Mary Elizabeth Heagerty, FNP
• Erin Rebecca Heavner
• Mark David Heiner, MD
• Henning and Associates Inc

• Behavior Analyst in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.