Individual
JENNIFER HENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W. CRAIG RD. SUITE 105, LAS VEGAS, NV 89130
(219) 730-4441
Mailing address
5803 W. CRAIG RD. SUITE 105, LAS VEGAS, NV 89130
(219) 730-4441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472415904
—
NV
Enumeration date
02/10/2017
Last updated
02/10/2017
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