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Genevieve Marie Wilkerson Hansen
Child Intellectual and/or Developmental Disabilities Respite Care in Rexburg, Idaho
NPI 1154922045

Genevieve Marie Wilkerson Hansen is a Child Intellectual and/or Developmental Disabilities Respite Care based in Rexburg, ID and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Genevieve Marie Wilkerson Hansen practices in Rexburg, ID. The NPI Number for Genevieve Marie Wilkerson Hansen is 1154922045 and holds a License No. (Idaho).

The current practice location address for Genevieve Marie Wilkerson Hansen is 146 N 4Th W, Rexburg, ID and can be reached out via phone at 707-815-3858. You can also correspond with Genevieve Marie Wilkerson Hansen through the mailing address at 146 N 4TH W, REXBURG, ID - 83440-1415 (mailing address contact number: 707-815-3858).

Location: 146 N 4Th W, Rexburg, ID, 83440-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154922045
Provider Name
Genevieve Marie Wilkerson Hansen
Credential
Provider Entity Type
Individual
Gender
Female
Address
146 N 4Th W, Rexburg, ID, 83440-1415
Phone Number
707-815-3858
Fax Number
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A0009285 05 ID
A0009299 05 ID
institution
Provider Business Practice Location Address Details
Address
146 N 4Th W
City
Rexburg
State
Idaho
Zip
83440-1415
Phone Number
707-815-3858
Fax Number
person
Provider Business Mailing Address Details
Address
146 N 4Th W
City
Rexburg
State
Idaho
Zip
83440-1415
Phone Number
707-815-3858
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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