Individual
MS. CHARLENE DANIELE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3255 OLD CONEJO RD STE 202, NEWBURY PARK, CA 91320-2153
(805) 254-6249
(855) 568-2494
Mailing address
3255 OLD CONEJO RD STE 202, NEWBURY PARK, CA 91320-2153
(805) 254-6249
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57046
CA
106S00000X
Behavior Technician
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Other
Enumeration date
02/04/2021
Last updated
05/17/2023
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