Provider Demographics
NPI:1619579760
Name:STANLEY, HANNAH N (BCBA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:N
Last Name:STANLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GAS CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46933-1605
Mailing Address - Country:US
Mailing Address - Phone:888-877-7222
Mailing Address - Fax:
Practice Address - Street 1:300 N 10TH ST
Practice Address - Street 2:
Practice Address - City:GAS CITY
Practice Address - State:IN
Practice Address - Zip Code:46933-1605
Practice Address - Country:US
Practice Address - Phone:888-877-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-21-54418103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst