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HANNAH LORRAINE FANNON M.S., BCBA, LBA
NPI 1104435064
Behavior Analyst in Waterloo, IL

Active since July 27, 2020
1120 MAPLEWOOD LN, WATERLOO, IL 62298(217) 525-8332(618) 719-3410 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2022, Jul 27, 2020 (2 updates tracked since 2020).

About Hannah Lorraine Fannon M.s., Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANNAH LORRAINE FANNON M.S., BCBA, LBA (NPI 1104435064) is an individual behavior analyst provider in Waterloo, Illinois, licensed in Missouri (1215462) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1104435064
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameHANNAH LORRAINE FANNONCredential: M.S., BCBA, LBA
Location Address1120 MAPLEWOOD LNWaterloo, IL 62298-2797
Mailing Address1120 Maplewood LnWaterloo, IL 62298-2797 · (618) 719-3410
Phone(217) 525-8332
Fax(618) 719-3410
Sole ProprietorYes
Enumeration DateJuly 27, 2020
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1104435064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Licenses✔ Licensed in MO · 1215462✔ Licensed in IN · 95001569A
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

1120 MAPLEWOOD LN, Waterloo, IL 62298
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Other Identifiers 1

Medicaid103K00000XMO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Frequently Asked Questions

What is Hannah Fannon's NPI number?

The NPI number assigned to this healthcare provider is 1104435064, enumerated as an "individual" on July 27, 2020.

Where is the provider located?

The provider is located at 1120 MAPLEWOOD LN WATERLOO, IL 62298 and the phone number is (217) 525-8332.

What is the provider's specialty?

Behavior Analyst with taxonomy code 103K00000X.

What insurance does Hannah Fannon accept?

The provider might be accepting Accepts: Medica, Oscar Insurance Company, UnitedHealthcare,. Please consult your insurance carrier or call the provider to verify.