Provider Demographics
NPI:1790232957
Name:DURBIN, HANNAH FAYE (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:FAYE
Last Name:DURBIN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:FAYE
Other - Last Name:MCCORKINDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:945 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3102
Mailing Address - Country:US
Mailing Address - Phone:402-916-4539
Mailing Address - Fax:
Practice Address - Street 1:945 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046
Practice Address - Country:US
Practice Address - Phone:402-916-4539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst