Provider Demographics
NPI:1639902984
Name:ABBEY, HANNAH EFRATAN
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:EFRATAN
Last Name:ABBEY
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 1:1029 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-7012
Mailing Address - Country:US
Mailing Address - Phone:720-469-4765
Mailing Address - Fax:
Practice Address - Street 1:1029 BROADWAY
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-7012
Practice Address - Country:US
Practice Address - Phone:720-469-4765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician