Healthcare Provider Details

I. General information

NPI: 1336720317
Provider Name (Legal Business Name): BRITNEY JEAN HANSEN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 WEST 150 SOUTH, CLEARFIELD, UT 84015
WEST POINT UT
84015
US

IV. Provider business mailing address

1617 WEST 150 SOUTH, CLEARFIELD, UT 84015
WEST POINT UT
84015
US

V. Phone/Fax

Practice location:
  • Phone: 435-225-5669
  • Fax:
Mailing address:
  • Phone: 435-225-5669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-77066
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: