Individual
KRISTAL JEAN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
801 E 2ND AVE, SPOKANE, WA 99202-2225
(509) 835-4404
(509) 835-4400
Mailing address
10525 E CONNOR RD, VALLEYFORD, WA 99036-9703
(509) 389-5248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12042297
WA
106S00000X
Behavior Technician
RBT-15-11512
WA
Other
Enumeration date
03/26/2015
Last updated
09/07/2021
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