Individual
MEGAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
(919) 371-2848
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193200000X
—
NC
Enumeration date
01/11/2018
Last updated
01/11/2018
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