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Individual

SARAH HANNERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA, LABA

Contact information

Practice address
3450 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5102
(800) 780-6545
(888) 507-4453
Mailing address
767 S HACKBERRY AVE, NIXA, MO 65714-7883

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011035833
MO

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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