Provider Demographics
NPI:1144827080
Name:CRISTOFANO, HANNAH T (RBT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:T
Last Name:CRISTOFANO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3504
Mailing Address - Country:US
Mailing Address - Phone:724-462-0385
Mailing Address - Fax:412-246-3873
Practice Address - Street 1:690 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3440
Practice Address - Country:US
Practice Address - Phone:724-462-0385
Practice Address - Fax:412-246-3873
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-20-12919106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician