NPI 1245004316

Ethan Hansen

Practitioner Assistant Behavior Analyst Dearborn, MI

Practice location

Address: 780 Town Center Dr APT 2401a, Dearborn, MI 48126-3857
Phone: (231) 652-0697

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1245004316
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2023
Record last updated: 9 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.