Provider Demographics
NPI:1790379642
Name:HANSON, CHRISTINA A (BCBA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:HANSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-0103
Mailing Address - Country:US
Mailing Address - Phone:303-667-9792
Mailing Address - Fax:
Practice Address - Street 1:24725 E ONTARIO PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-4123
Practice Address - Country:US
Practice Address - Phone:303-591-5459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst