Provider Demographics
NPI:1174335384
Name:HANNEY, WILLIAM JAMES V (RBT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JAMES
Last Name:HANNEY
Suffix:V
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12202 KNIGHTS KROSSING CIRCLE
Mailing Address - Street 2:APT 201 BLDG # 5 - UNIT # 201 - BED A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817
Mailing Address - Country:US
Mailing Address - Phone:321-684-0128
Mailing Address - Fax:
Practice Address - Street 1:305 WAYMONT CT SUITE 101 LAKE MARY FL 32746
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:321-684-0128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1164351106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician