Individual
KATHERINE ELIZABETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2501 MACY DR, ROSWELL, GA 30076-6344
(678) 580-3997
Mailing address
2501 MACY DR, ROSWELL, GA 30076-6344
(678) 580-3997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35432
BOARD CERTIFCATION NUMBER
—
Enumeration date
07/19/2011
Last updated
06/14/2022
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