Hannah Faith Peters

Individual provider Active NPI Behavior Technician · Rockwood, TN

NPI 1710701933 · NPPES record last updated Nov 13, 2024

Key facts

NPI
1710701933
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
24355104 (TN)
Practice address
391 Waldo Rd
Rockwood, TN 37854-5809
Phone
(865) 851-5207
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
24355104TNMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24355104 TN Yes

Addresses

Primary practice location

391 Waldo Rd
Rockwood, TN 37854-5809

Mailing address

391 Waldo Rd
Rockwood, TN 37854-5809
Phone (865) 851-5207

Other providers in Rockwood, TN

All providers in Rockwood, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.