NPI 1003302860 · live from the CMS NPI Registry
Jacey Hanna, BCBA
Behavior Analyst in Smyrna, TN. National Provider Identifier 1003302860, active.
NPI record
| NPI | 1003302860 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 883 Seven Oaks Blvd Ste 990, Smyrna, TN 37167 |
| Practice phone | 629-216-2007 |
| Mailing address | 7500 San Felipe St Ste 990, Houston, TX 77063 |
| Enumerated | July 5, 2018 |
| Last updated | January 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 105823 (IA) |
| Behavior Analyst primary | 103K00000X | — (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.