Individual
MISS MIKALA RAE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.; BCBA-D
Contact information
Practice address
230 S NOLEN DR BLDG 3, SOUTHLAKE, TX 76092-8078
(817) 402-8250
Mailing address
804 ABERDEEN WAY, SOUTHLAKE, TX 76092-9559
(813) 471-8721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25337
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
06416
MD
103TC0700X
Clinical Psychologist
38644
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2019
Last updated
03/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us