Individual
LISA MICHELLE HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 DUSTYS RD, COVINGTON, VA 24426-6020
(540) 968-1179
Mailing address
204 DUSTYS RD, COVINGTON, VA 24426-6020
(540) 968-1179
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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