Individual
SAMANTHA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
11111 E MISSISSIPPI AVE, AURORA, CO 80012-3106
(303) 214-3367
Mailing address
11111 E MISSISSIPPI AVE, AURORA, CO 80012-3106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14569
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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