Provider Demographics
NPI:1912555053
Name:ABINUMAN PEREZ, HANNAH FRANCESCA
Entity Type:Individual
Prefix:
First Name:HANNAH FRANCESCA
Middle Name:
Last Name:ABINUMAN PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E MELROSE ST APT 2002
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-2339
Mailing Address - Country:US
Mailing Address - Phone:562-665-3233
Mailing Address - Fax:
Practice Address - Street 1:22363 E. DOMINGO ROAD SUITE 101/102
Practice Address - Street 2:
Practice Address - City:. QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142
Practice Address - Country:US
Practice Address - Phone:602-922-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-02
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBACB509371103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst