Basic Information
Provider Information
NPI: 1043663057
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTON
FirstName: HANNAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.ED, BCBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 700 CHILDRENS DR
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432052664
CountryCode: US
TelephoneNumber: 6147222000
FaxNumber:  
Practice Location
Address1: 187 W SCHROCK RD
Address2:  
City: WESTERVILLE
State: OH
PostalCode: 430812890
CountryCode: US
TelephoneNumber: 6143557500
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2016
LastUpdateDate: 08/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X  N Behavioral Health & Social Service ProvidersBehavioral Analyst 
103TC0700XP.08306OHY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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