Individual
TINA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
76 SPERLING RD, CLIFTON, NJ 07013-2337
(973) 769-4573
Mailing address
76 SPERLING RD, CLIFTON, NJ 07013-2337
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17016
NJ
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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