Hannah Maksimovic

Individual provider Active NPI Behavior Technician · Shalimar, FL

NPI 1982358271 · NPPES record last updated Feb 7, 2022

Key facts

NPI
1982358271
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
15 10TH Ave
Shalimar, FL 32579-1340
Phone
(850) 362-6824
NPI assigned
Feb 7, 2022
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

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Expectations Inc. Current
since Feb 13, 2022
Accepting new patients

Locations

15 10th Ave
Shalimar, FL 32579
Phone (850) 362-6842

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

15 10TH Ave
Shalimar, FL 32579-1340

Mailing address

1500 Lewis Turner Blvd Apt K301
Fort Walton Beach, FL 32547-7202
Phone (715) 554-1613

Other providers in Shalimar, FL

All providers in Shalimar, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.