Nicole Rawn Hanson
Individual provider Active NPI Behavior Analyst · Grantsville, UT
NPI 1992003586 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1992003586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 512 S Sheep LN
Grantsville, UT 84074-8270 - Phone
- (801) 935-4172
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- No
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
512 S Sheep LN
Grantsville, UT 84074-8270
Mailing address
16255 Ventura Blvd
Encino, CA 91436-2302
Other providers in Grantsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. 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.