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Individual

CHRISTINA A HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
1211 BRADLEY RD, SEVERN, MD 21144-2786
(301) 346-5394
Mailing address
974 POINT PLEASANT RD, GLEN BURNIE, MD 21060

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB377558
MD
106S00000X
Behavior Technician

Other

Enumeration date
10/24/2017
Last updated
10/29/2020
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