Individual
CARRIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
773 BANDIT TRL, KELLER, TX 76248-0111
(817) 767-0742
Mailing address
773 BANDIT TRL, KELLER, TX 76248-0111
(817) 767-0742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
01/03/2025
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