Individual
ALEXIS HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
556 S WASHINGTON ST, DALE, IN 47523
(812) 330-4460
(812) 330-4461
Mailing address
1923 S LIBERTY DR, BLOOMINGTON, IN 47403-5146
(812) 330-4460
(812) 330-4461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-519643
IN
Other
Enumeration date
03/05/2026
Last updated
03/09/2026
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