Provider Demographics
NPI:1942097704
Name:BECKHAM, HANNAH (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BECKHAM
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:BERK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1415 N POMEROY
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-2714
Mailing Address - Country:US
Mailing Address - Phone:480-734-3620
Mailing Address - Fax:
Practice Address - Street 1:2913 N POWER RD STE 108
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1742
Practice Address - Country:US
Practice Address - Phone:480-903-1710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-23-65496103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst