Individual
ANNA HASBROUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 STONERIDGE DR STE 5, BOZEMAN, MT 59718-7056
(406) 624-6599
(888) 336-0944
Mailing address
1039 STONERIDGE DR STE 5, BOZEMAN, MT 59718-7056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PSY-BA-LIC-2867
MT
Other
Enumeration date
08/14/2019
Last updated
01/20/2020
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