Genevieve Marie Wilkerson Hansen

NPI #1154922045 in Rexburg, Idaho

Provider Information

NPI Number: 1154922045
Entity Type: Individual
Name: Genevieve Marie Wilkerson Hansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 5, 2020
Last Updated: Aug 10, 2021

Practice Location

Address: 146 N 4TH W
City: Rexburg
State: Idaho
ZIP Code: 83440-1415
Phone: (707) 815-3858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X

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