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Hannah Leeann Dacus

Behavior Technician in Tyler, TX. Individual provider (NPI-1).

NPI number1083357461
StatusActive
Last updated in NPPESApr 14, 2022

Details

NPI
1083357461
Entity type
Individual (NPI-1)
Name
Hannah Leeann Dacus
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2022
Certification date
Apr 14, 2022
Last updated
Apr 14, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1001 W Sw Loop 323
Tyler, TX 75701-9416

Phone 430-205-8710

Mailing address

1001 W Sw Loop 323
Tyler, TX 75701-9416

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Tyler, TX

All 111 Behavior Technician providers in Tyler · All 6,843 providers in Tyler

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