Provider Demographics
NPI:1477076495
Name:MCGUIRE-HANN, KARA ANN (BCBA)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ANN
Last Name:MCGUIRE-HANN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 GREAT OAK FARM RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1295
Mailing Address - Country:US
Mailing Address - Phone:203-535-7802
Mailing Address - Fax:
Practice Address - Street 1:538 PRESTON AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-4851
Practice Address - Country:US
Practice Address - Phone:203-317-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-14-16796103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst