Provider Demographics
NPI:1548983539
Name:REIF, HANNAH JANE (BS, RBT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JANE
Last Name:REIF
Suffix:
Gender:F
Credentials:BS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7398B MCAULIFFE WAY
Mailing Address - Street 2:
Mailing Address - City:FORT CAMPBELL, KY
Mailing Address - State:KY
Mailing Address - Zip Code:42223
Mailing Address - Country:US
Mailing Address - Phone:937-489-3923
Mailing Address - Fax:
Practice Address - Street 1:7398B MCAULIFFE WAY
Practice Address - Street 2:
Practice Address - City:FORT CAMPBELL, KY
Practice Address - State:KY
Practice Address - Zip Code:42223-4222
Practice Address - Country:US
Practice Address - Phone:937-489-3923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician