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NPI Code Detail

MEDICARE: ALEXA L HANSON

MEDICARE: ALEXA L HANSON
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
1106S00000XBehavior TechnicianRBT-17-28973PA

General Provider Information

NPI Number : 1851056741
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA L HANSON
Provider Business Mailing Address
First Line : 6111 SPRINGFORD DR APT M11
Second Line :
City : HARRISBURG
State : PA
Zip : 17111-4877
Country : US
Telephone Number : 610-704-1955
Fax Number :
Provider Business Practice Location Address
First Line : 7540 ALLENTOWN BLVD STE 5
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-4238
Country : US
Telephone Number : 717-418-8533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2021
Last Update Date : 11/04/2021

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