Amber Nichole Hansen

NPI #1659918951 in Logan, Utah

Provider Information

NPI Number: 1659918951
Entity Type: Individual
Name: Amber Nichole Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2019
Last Updated: Dec 5, 2019

Practice Location

Address: 47 W 1124 N APT 2
City: Logan
State: Utah
ZIP Code: 84341-6848
Phone: (435) 881-3519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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