Destry Ronae Hansen

Behavior Technician · Fort Irwin, CA

Individual Active NPI

NPI number 1700324993

Practice location

2009 Salerno Dr Apt B
Fort Irwin, CA 92310-1628
Phone
(907) 209-6856

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NPI record

NPI
1700324993
Entity type
Individual (Type 1)
Enumeration date
February 7, 2017
Last updated
February 7, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Destry Hansen

Destry Ronae Hansen is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2009 Salerno Dr Apt B, Fort Irwin, CA 92310-1628. The NPI number 1700324993 was assigned on February 7, 2017 and the record was last updated on February 7, 2017.

Frequently asked questions

What is the NPI number of Destry Ronae Hansen?

The NPI number is 1700324993.

What is the phone number of Destry Hansen?

The phone number listed for the practice location is (907) 209-6856.

Where is Destry Hansen located?

2009 Salerno Dr Apt B, Fort Irwin, CA 92310-1628.

What is the taxonomy code for Destry Hansen?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.