Individual
AMY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 SOUTHSIDE BLVD BLDG 900, JACKSONVILLE, FL 32256-0791
(904) 732-4343
Mailing address
9000 SOUTHSIDE BLVD BLDG 900, JACKSONVILLE, FL 32256-0791
(904) 732-4343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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