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Hannah Liabenow

Behavior Technician in South Lyon, MI. Individual provider (NPI-1).

NPI number1497516504
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1497516504
Entity type
Individual (NPI-1)
Name
Hannah Liabenow
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 17, 2024
Certification date
Apr 27, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

22310 Pontiac Trl
South Lyon, MI 48178-1657

Phone 313-278-4601

Mailing address

864 Long Lake Dr
Brighton, MI 48114-9643

Phone 313-278-4601

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