Kendra Hansen
Behavior Technician in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164095154
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1164095154
- Entity type
- Individual (NPI-1)
- Name
- Kendra Hansen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1260 Ekhart St NeGrand Rapids, MI 49503-1380
Phone 616-965-3492
Mailing address
3300 36th St SeGrand Rapids, MI 49512-2810
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