Individual
ALYSON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LABA
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(508) 202-0506
(508) 202-0506
Mailing address
377 SHREWSBURY ST, WORCESTER, MA 01604-1632
(321) 987-8348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1719
MA
Other
Enumeration date
06/06/2017
Last updated
06/11/2019
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