Individual
MEGHAN RUTH HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 TOPAZ LN, INWOOD, WV 25428-4056
(304) 279-5799
Mailing address
144 TOPAZ LN, INWOOD, WV 25428-4056
(304) 279-5799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002010
VA
103K00000X
Behavior Analyst
Primary
1223
CT
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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