Hannah Burch

Individual provider Active NPI Behavior Technician · Freeport, FL

NPI 1780246140 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1780246140
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
19-0826-159524 (FL)
Practice address
41 Sunshine PL
Freeport, FL 32439-6121
Phone
(850) 704-0731
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
19-0826-159524FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Work Studies Institute,LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19-0826-159524 FL Yes

Addresses

Primary practice location

41 Sunshine PL
Freeport, FL 32439-6121

Mailing address

41 Sunshine PL
Freeport, FL 32439-6121

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL www.autiswmwsi.com Direct
Other URL www.autismwsi.com Direct The Work Studies Institute,LLC
Other URL www.autismwsi.com Direct The Work Studies Institute,LLC
CONNECT URL www.autiswmwsi.com Direct

Other providers in Freeport, FL

All providers in Freeport, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.