Individual
JILLIAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BSL
Contact information
Practice address
1496 BRIAN LN, EFFORT, PA 18330-7942
(570) 656-7484
Mailing address
1496 BRIAN LN, EFFORT, PA 18330-7942
(570) 656-7484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000809
PA
Other
Enumeration date
10/14/2017
Last updated
10/14/2017
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