Provider Demographics
NPI:1063397594
Name:MARIN, HANNAH SOPHIA
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:SOPHIA
Last Name:MARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11533 FLORAL DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2833
Mailing Address - Country:US
Mailing Address - Phone:562-325-2251
Mailing Address - Fax:
Practice Address - Street 1:11533 FLORAL DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2833
Practice Address - Country:US
Practice Address - Phone:562-325-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician