Provider Demographics
NPI:1568183978
Name:HELLMAN, HANNAH MARIE (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W281 HAZEL CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:WI
Mailing Address - Zip Code:53079-1468
Mailing Address - Country:US
Mailing Address - Phone:920-979-9515
Mailing Address - Fax:
Practice Address - Street 1:9120 W LOOMIS RD STE 400
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9083
Practice Address - Country:US
Practice Address - Phone:833-646-3222
Practice Address - Fax:833-646-3222
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1032140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1032140OtherDSPS
12260972OtherBACB