Individual
HALLEJO MARINA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 SAINT CHARLES ROCK RD UNIT 5, BRIDGETON, MO 63044-2601
(636) 398-2500
(800) 687-5070
Mailing address
4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 64055-6969
(816) 608-1500
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-468106
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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