Individual
KENYON DESHON FORD-HENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6325 N CENTER DR STE 121, NORFOLK, VA 23502-0012
(757) 901-0646
Mailing address
7221 LORD BARTON DR, FREDERICKSBURG, VA 22407-7481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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