Individual
CALLIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 E 22ND ST N STE 1600-B, WICHITA, KS 67226-2321
(918) 944-0169
Mailing address
8510 E 29TH ST N APT 1607, WICHITA, KS 67226-2256
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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