Individual
SARAH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
(701) 356-4383
Mailing address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
(701) 356-4383
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-223726
ND
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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