Provider Demographics
NPI:1528644192
Name:WHITE, HANNAH (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8875 SYNERGY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6503
Mailing Address - Country:US
Mailing Address - Phone:972-872-8454
Mailing Address - Fax:
Practice Address - Street 1:861 N COLEMAN ST STE 135
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2356
Practice Address - Country:US
Practice Address - Phone:469-296-8205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-160879106S00000X
TX6222103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician