SHANE HANSEN

SOMERSET, KY
NPI1023586088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
SHANE HANSEN M.ED
263 WIND CHIME DR
SOMERSET, KY 42503-3821
Phone number: 606-875-0812
Mailing Address
SHANE HANSEN M.ED
263 WIND CHIME DR
SOMERSET, KY 42503-3821
Phone number: 606-875-0812