Individual
ASHLYN GRACE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 SMALTZ WAY, AUBURN, IN 46706-9599
(260) 255-3665
Mailing address
3280 S 390 W, PLEASANT LAKE, IN 46779-9796
(260) 667-0572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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