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Hannah Song

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1114716396
StatusActive
Last updated in NPPESSep 21, 2025

Details

NPI
1114716396
Entity type
Individual (NPI-1)
Name
Hannah Song
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2025
Certification date
Sep 21, 2025
Last updated
Sep 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

501 W Broadway Ste 800
San Diego, CA 92101-3546

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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