Provider Demographics
NPI:1730651431
Name:BERNSTEIN, HANNAH CAPE (RBT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CAPE
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:CAITLIN
Other - Last Name:CAPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2405 28TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2484
Mailing Address - Country:US
Mailing Address - Phone:360-333-5684
Mailing Address - Fax:360-230-3272
Practice Address - Street 1:2405 28TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2484
Practice Address - Country:US
Practice Address - Phone:360-333-5684
Practice Address - Fax:360-230-3272
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2041449Medicaid