Individual
VICKI S. HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5001 FAWN CIR, IMPERIAL, MO 63052-1575
(636) 212-0949
(636) 333-2790
Mailing address
5001 FAWN CIR, IMPERIAL, MO 63052-1575
(636) 212-0949
(636) 333-2790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-03-1085
BCBA CERTIFICANT NUMBER
MO
Enumeration date
01/07/2011
Last updated
01/07/2011
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