Individual
BRIANNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
(971) 292-1050
Mailing address
1851 NW CIVIC DR, GRESHAM, OR 97030-5566
(971) 292-1050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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