Healthcare Provider Details

I. General information

NPI: 1992201206
Provider Name (Legal Business Name): HAYLEY HANSEN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAYLEY BURGGRAFF

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 MAIN ST
HULL IA
51239-7712
US

IV. Provider business mailing address

910 MAIN ST
HULL IA
51239-7712
US

V. Phone/Fax

Practice location:
  • Phone: 712-470-8211
  • Fax:
Mailing address:
  • Phone: 712-470-8211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-30451
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: