IZAYAH HANSEN

SPRINGFIELD, IL
NPI1477389955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-09-11
Last Update Date2024-09-11
Business Address
IZAYAH HANSEN RBT
614 N 6TH ST
SPRINGFIELD, IL 62702-5313
Phone number: 574-387-4313
Mailing Address
IZAYAH HANSEN RBT
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: