Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst |
NPI | 1013282342 |
---|---|
Provider Name | Taron Hansen |
First Address | Henderson, NV 89052-4842 |
Second Address | Las Vegas, NV 89130-3180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 02/09/2020 |