Individual
SERENA CAMILLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 VILLAGE OFFICE CT STE 104, BEND, OR 97702-1813
(541) 306-3483
Mailing address
PO BOX 1432, BEND, OR 97709-1432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10250485
OR
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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