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Individual

MR. MICAH FRANKLIN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, BCBA CERTIFICATE

Contact information

Practice address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 715-3855
Mailing address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 715-3855

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014026407
MO

Other

Enumeration date
05/10/2018
Last updated
05/10/2018
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