Individual
MALIAH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 E OVERLAND RD, MERIDIAN, ID 83642-6711
(888) 392-8642
Mailing address
87 S ROLLING GREEN ST, NAMPA, ID 83687-8921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-491157
—
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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