Active NPI
Nathan Christopher Hahn, BCBA, LBA
- Behavior Analyst
- Mystic, CT
National Provider Identifier
1841854262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 803
- Practice address
- 4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875 - Phone
- (860) 857-5964
- NPI assigned
- May 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 803 | CT | Primary |
Addresses
Primary practice location
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
Mailing address
33 Hinckley St
Mystic, CT 06355-1907
Phone (860) 857-5964
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1841854262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 HINCKLEY ST",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551907",
"telephone_number": "860-857-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BROADWAY AVENUE EXT STE 3",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552875",
"telephone_number": "860-857-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "NATHAN",
"middle_name": "CHRISTOPHER",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.