Individual provider Active NPI

Hannah Myrick Davis, MA, BCBA, LBS

  • Behavior Analyst
  • Harrisburg, PA
National Provider Identifier
1306556956
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH005522 Issued in PA
Practice address
2550 Interstate Dr Ste 201
Harrisburg, PA 17110-9614
Phone
(717) 461-9018
NPI assigned
Dec 5, 2022
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH005522 PA Primary

Addresses

Primary practice location

2550 Interstate Dr Ste 201
Harrisburg, PA 17110-9614

Mailing address

7562 Clover Lee Blvd
Harrisburg, PA 17112-8947
Phone (610) 401-1641

Other practice location 1

1021 Springboard Dr
Hershey, PA 17033-8820
Phone (717) 583-5102 ext. 1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BH005522PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1306556956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 CLOVER LEE BLVD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128947",
            "telephone_number": "610-401-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 INTERSTATE DR STE 201",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109614",
            "telephone_number": "717-461-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Springboard Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170338820",
            "country_code": "US",
            "telephone_number": "717-583-5102 x1101",
            "fax_number": "717-583-7926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HANNAH",
        "middle_name": "MYRICK",
        "credential": "MA,  BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.