Provider Demographics
NPI:1467804419
Name:HILL, HANNAH SUZANNE (BCBA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:SUZANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:SUZSNNE
Other - Last Name:LAFOLLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:165 CARPENTERS LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-5981
Mailing Address - Country:US
Mailing Address - Phone:205-966-5010
Mailing Address - Fax:
Practice Address - Street 1:475 PROVIDENCE MAIN ST NW STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4828
Practice Address - Country:US
Practice Address - Phone:256-489-8660
Practice Address - Fax:256-615-8790
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-15-20711103K00000X
AL2017-073103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst