Kevin Hanson

NPI #1356159982 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1356159982
Entity Type: Individual
Name: Kevin Hanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 30, 2024
Last Updated: Dec 30, 2024

Practice Location

Address: 7839 MEADOWVIEW TRL
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-1074
Phone: (612) 393-5554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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