Provider Demographics
NPI:1891096442
Name:ROBICHEAU, HANNAH KATE SELUKE (BCBA, LBA)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:KATE SELUKE
Last Name:ROBICHEAU
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10124 W BROAD ST STE A
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3330
Mailing Address - Country:US
Mailing Address - Phone:804-372-7151
Mailing Address - Fax:804-912-2163
Practice Address - Street 1:10124 W BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3330
Practice Address - Country:US
Practice Address - Phone:804-372-0151
Practice Address - Fax:804-912-2163
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-14
Last Update Date:2023-03-02
Deactivation Date:2013-11-26
Deactivation Code:
Reactivation Date:2014-07-29
Provider Licenses
StateLicense IDTaxonomies
VA0133000805103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty