MR. Luke Benjamin Hansen

NPI #1255920765 in Georgetown, Texas

Provider Information

NPI Number: 1255920765
Entity Type: Individual
Name: MR. Luke Benjamin Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 11, 2021
Last Updated: Jan 11, 2021

Practice Location

Address: 1500 NORTHWEST BLVD APT 313
City: Georgetown
State: Texas
ZIP Code: 78628-3469
Phone: (707) 393-8677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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