Individual
MR. THOMAS MATTHEW HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
524 10TH ST, LYNDHURST, NJ 07071-2723
(201) 658-1465
Mailing address
524 10TH ST, LYNDHURST, NJ 07071-2723
(201) 658-1465
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14662
NJ
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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