Individual
ALICE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5415 BACKLICK RD UNIT D, SPRINGFIELD, VA 22151-3915
(571) 721-1712
Mailing address
5415 BACKLICK RD UNIT D, SPRINGFIELD, VA 22151-3915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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