Provider Demographics
NPI:1861024002
Name:HOWARD, HANNAH KATHRYN (RBT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATHRYN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2427 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HENSLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72065-8025
Mailing Address - Country:US
Mailing Address - Phone:501-249-8894
Mailing Address - Fax:
Practice Address - Street 1:8513 W OAK ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-7565
Practice Address - Country:US
Practice Address - Phone:501-249-8894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRBT-19-105373106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician