Individual
CHANDY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 S 1990 E UNIT 1B, ST GEORGE, UT 84790-4839
(435) 862-1570
Mailing address
344 S 1990 E UNIT 1B, ST GEORGE, UT 84790-4839
(435) 862-1570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB332433
UT
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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