Individual
DR. PAUL HANSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
147 BELVA LN, CHUBBUCK, ID 83202-2198
Mailing address
147 BELVA LN, CHUBBUCK, ID 83202-2198
(406) 529-3969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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