Individual
JONATHAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9404 SHELLFISH CT, LAS VEGAS, NV 89117-0267
(702) 981-1153
Mailing address
9404 SHELLFISH CT, LAS VEGAS, NV 89117-0267
(702) 981-1153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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