Provider Demographics
NPI:1528522570
Name:HALLETT, HANNAH (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HALLETT
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23030 HALSTED RD APT 121
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-3741
Mailing Address - Country:US
Mailing Address - Phone:248-980-1447
Mailing Address - Fax:
Practice Address - Street 1:23030 HALSTED RD APT 121
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-3741
Practice Address - Country:US
Practice Address - Phone:248-980-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MI7401001890103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician