Most Relevant Information
Provider Data
| NPI Number: | 1003302860 |
| Provider Name: | JACEY MARIE HANNA BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 105823 |
Most Important Dates
| Enumeration Date: | 07/05/2018 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
1299 FARNAM ST STE 300
OMAHA
NE
681021857
Practice Location Phone/Fax
| Phone: | 7128990407 |
| Fax: |
Provider Mailing Location
111 OLD HICKORY BLVD APT 211
NASHVILLE
TN
372216957
Provider Mailing Phone/Fax
| Phone: | 4022524264 |
| Fax: |