Provider Demographics
NPI:1538679550
Name:REES HANNAH, RICHELLE (BA, RBT)
Entity type:Individual
Prefix:
First Name:RICHELLE
Middle Name:
Last Name:REES HANNAH
Suffix:
Gender:F
Credentials:BA, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31344 VIA COLINAS STE 108
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6797
Mailing Address - Country:US
Mailing Address - Phone:805-379-3212
Mailing Address - Fax:
Practice Address - Street 1:8820 RIDGE RD
Practice Address - Street 2:
Practice Address - City:SHIPMAN
Practice Address - State:IL
Practice Address - Zip Code:62685-6650
Practice Address - Country:US
Practice Address - Phone:805-338-6559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
45-.589857OtherTHE HOLMAN GROUP