Individual
AALIYAH SIMONE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 W COMMONWEALTH AVE, FULLERTON, CA 92832-1612
(714) 879-4274
Mailing address
13703 STANBRIDGE AVE, BELLFLOWER, CA 90706-2347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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