Individual
MS. TONYAKRISTIN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 S ERIE AVE APT 2, RUSSELLVILLE, AR 72801-7264
(732) 682-5881
Mailing address
1810 S ERIE AVE APT 2, RUSSELLVILLE, AR 72801-7264
(732) 682-5881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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