Individual
HANNAH COGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
657 SCOTT AVE, CLOVIS, CA 93612-2659
(877) 242-2884
Mailing address
5084 N FRUIT AVE STE 106, FRESNO, CA 93711-3000
(877) 242-2884
(559) 225-2083
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
00018281
CA
Other
Enumeration date
07/10/2023
Last updated
07/17/2024
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