IndividualActive
Blake Hansen, PHD
NPI 1306350186 · Behavior Analyst · Pleasant Grove, UT
Provider details
- NPI number
- 1306350186
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 11235836-2506 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1609 W 50 N
Pleasant Grove, UT 84062-3565
Phone: (801) 419-5899
Approximate (ZIP-level) locationGet directions
Mailing address
1609 W 50 N
Pleasant Grove, UT 84062-3565
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.