Individual
KALEIGH HENRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 317-1444
Mailing address
3419 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 721-2060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/21/2021
Last updated
04/03/2026
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