Individual provider · Type 1 NPI

Hannah Lorraine Fannon, M.S., BCBA, LBA

Behavior Analyst · Waterloo, IL

NPI number 1104435064 Active

Practice location

1120 Maplewood Ln
Waterloo, IL 62298-2797

Fax (618) 719-3410

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X95001569A (IN)
Behavior Analyst Primary 103K00000X1215462 (MO)

Behavior Analyst: 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…

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About NPI 1104435064

Hannah Lorraine Fannon, M.S., BCBA, LBA's National Provider Identifier is 1104435064, issued on Jul 27, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Waterloo, IL. The record was last updated on Jun 24, 2026.