Provider Demographics
NPI:1699489302
Name:HUNSUCKER, HANNAH (RBT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HUNSUCKER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MRS
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT, RMA
Mailing Address - Street 1:95-976 WIKAO ST APT K201
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-5062
Mailing Address - Country:US
Mailing Address - Phone:719-246-5360
Mailing Address - Fax:
Practice Address - Street 1:95-976 WIKAO ST APT K201
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-5062
Practice Address - Country:US
Practice Address - Phone:719-246-5360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician