Hanson, Mikala Rae

Hanson, Mikala Rae is an individual health care provider with primary practice located at 230 S Nolen Dr Bldg 3 , Southlake TX 76092-8078. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hanson, Mikala Rae can be contacted via phone (817) 402-8250.

Contact Information

Primary practice address
230 S Nolen Dr Bldg 3 Southlake TX 76092-8078
Phone: (817) 402-8250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-25337
Behavioral Health & Social Service Providers / Clinical 103TC0700X 06416 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 38644 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1063078384
LBN Legal business name Hanson, Mikala Rae
Credentials PSY.D.; BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Mar 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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