Individual
MS. NICOLE RAWN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 S SHEEP LN, GRANTSVILLE, UT 84074-8270
(801) 935-4172
Mailing address
16255 VENTURA BLVD, ENCINO, CA 91436-2302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/13/2026
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