Individual
ERIN NICOLE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(800) 478-2108
Mailing address
PO BOX 10214, FAIRBANKS, AK 99710-0214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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