Individual
BREANNA HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16375 PIERSIDE LN, WILDWOOD, MO 63040-1600
(636) 405-2701
Mailing address
3107 RIDGEWOOD HILLS DR, FARMINGTON, MO 63640-7758
(573) 701-5236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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