Individual
KENDRA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8645 ORCUTT AVE APT L, NEWPORT NEWS, VA 23605-1206
(609) 457-4317
Mailing address
4560 SOUTH BLVD, VIRGINIA BEACH, VA 23452-1160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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