Individual
MRS. MEGAN RENEE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5330
Mailing address
8937 HAFFNER CT, JUNEAU, AK 99801-8890
(360) 630-9163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
124910
AK
Other
Enumeration date
09/09/2017
Last updated
07/21/2022
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