Provider Demographics
NPI:1306231675
Name:SAUBER, HANNAH MARIE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:SAUBER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 1/2 CHICHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1326
Mailing Address - Country:US
Mailing Address - Phone:626-833-6267
Mailing Address - Fax:
Practice Address - Street 1:1605 1/2 CHICHESTER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1326
Practice Address - Country:US
Practice Address - Phone:626-833-6267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1-15-18305103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst