Provider Demographics
NPI:1871126219
Name:LANEY, HANNAH MARIE SABO (RBT)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MARIE SABO
Last Name:LANEY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:SABO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 BIRADAN MASAE NAKAGOMI
Mailing Address - Street 2:
Mailing Address - City:DEDEDO
Mailing Address - State:GU
Mailing Address - Zip Code:96929-2471
Mailing Address - Country:US
Mailing Address - Phone:671-486-0769
Mailing Address - Fax:
Practice Address - Street 1:212 FARENHOLT AVE.
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-486-0769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-20-111994106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician