Individual
LYNESA JANAI HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9374 OLIVE BLVD, SAINT LOUIS, MO 63132-3267
(314) 932-2402
Mailing address
6320 GRAHAM RD, SAINT LOUIS, MO 63134-1604
(314) 354-4362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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