Individual
MRS. LEANDRA MARIA HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
27 CIRCLE DR, LA JUNTA, CO 81050-3313
(719) 469-8513
Mailing address
27 CIRCLE DR, LA JUNTA, CO 81050-3313
(719) 469-8513
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10384
CO
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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