MEDICARE: BROOKE 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
1	106S00000X	Behavior Technician		IN

General Provider Information

NPI Number	:	1356292825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE HANSON

Provider Business Mailing Address
First Line	:	6525 YORKSHIRE CIR
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-9199
Country	:	US
Telephone Number	:	765-282-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	6525 YORKSHIRE CIR
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-9199
Country	:	US
Telephone Number	:	765-282-8222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ BROOKE HANSON ” Practice Location

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