Individual
ALLYSON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 RANCHO CAMINO DR STE 106, POMONA, CA 91766-7020
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12147378
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2021
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