Provider Demographics
NPI:1730654211
Name:REINHARD, HANNAH R (BCBA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:R
Last Name:REINHARD
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 1:3934 MURPHY CANYON ROAD
Mailing Address - Street 2:SUITE B202
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:619-598-2924
Mailing Address - Fax:619-795-0814
Practice Address - Street 1:3934 MURPHY CANYON ROAD
Practice Address - Street 2:SUITE B202
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:619-598-2924
Practice Address - Fax:619-795-0814
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CA1-20-43592103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician