DR. Blake Darrell Hansen, PHD

NPI #1306350186 in Pleasant Grove, Utah

Provider Information

NPI Number: 1306350186
Entity Type: Individual
Name: DR. Blake Darrell Hansen, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: PHD
Enumeration Date: Nov 30, 2017
Last Updated: Jan 21, 2021

Practice Location

Address: 1609 W 50 N
City: Pleasant Grove
State: Utah
ZIP Code: 84062-3565
Phone: (801) 419-5899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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