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NPI Code Detail

MEDICARE: NATALIE FAYE HANSEN M.S., BCBA

MEDICARE: NATALIE FAYE HANSEN M.S., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1194246538
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE FAYE HANSEN M.S., BCBA
Provider Business Mailing Address
First Line : 1920 THOREAU DR N
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60173-4176
Country : US
Telephone Number : 847-496-5513
Fax Number :
Provider Business Practice Location Address
First Line : 3070 BUSINESS PARK DR STE B
Second Line :
City : NORCROSS
State : GA
Zip : 30071-1428
Country : US
Telephone Number : 770-884-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2017
Last Update Date : 10/27/2020

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