Individual
MACKENZIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
328 PARKGATE RD, CEDAR FALLS, IA 50613-1956
(215) 880-2260
Mailing address
3032 ANSBOROUGH AVE STE A, WATERLOO, IA 50701-4422
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-01147
IA
Other
Enumeration date
10/27/2021
Last updated
04/11/2025
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