Individual
LAURA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
250 HADDONFIELD BERLIN RD, SUITE 105, GIBBSBORO, NJ 08026-1228
(856) 346-0005
Mailing address
250 HADDONFIELD BERLIN RD, SUITE 105, GIBBSBORO, NJ 08026-1228
(856) 346-0005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1096358
NJ
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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