Provider Demographics
NPI:1447778196
Name:HANASHIRO-PARSON, HANA SOPHIA
Entity Type:Individual
Prefix:MISS
First Name:HANA
Middle Name:SOPHIA
Last Name:HANASHIRO-PARSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15501 BRUCE B DOWNS BLVD APT 3405
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1349
Mailing Address - Country:US
Mailing Address - Phone:813-240-1678
Mailing Address - Fax:
Practice Address - Street 1:701 77TH AVE N UNIT 56546
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5299
Practice Address - Country:US
Practice Address - Phone:727-954-5401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician