Provider Demographics
NPI:1073498309
Name:VILLANUEVA, HANNAH RENEE
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:RENEE
Last Name:VILLANUEVA
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 1:1942 47TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-4662
Mailing Address - Country:US
Mailing Address - Phone:408-312-8159
Mailing Address - Fax:
Practice Address - Street 1:10824 OLSON DR STE C
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-5651
Practice Address - Country:US
Practice Address - Phone:916-847-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
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