Vicki S. Hanson, BCBA
Individual provider Active NPI Behavior Analyst · Imperial, MO
NPI 1487958286 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1487958286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 5001 Fawn Cir
Imperial, MO 63052-1575 - Phone
- (636) 212-0949
- Fax
- (636) 333-2790
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
5001 Fawn Cir
Imperial, MO 63052-1575
Mailing address
5001 Fawn Cir
Imperial, MO 63052-1575
Phone (636) 212-0949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-03-1085 | Other | MO | BCBA CERTIFICANT NUMBER |
Other providers in Imperial, MO
- Ashley Nicole Glaus
- Krista Ann Green
- Elizabeth Grieb
- Guiding Light Behavioral Consulting
- Emily Elizabeth Hammon
- Susan Hawthorne
- Amber Hennrich
- Nathaniel B Hodges
- Thomas Davant Johns
- Charles J Johnson
All providers in Imperial, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.