Individual
RACHEL JILLIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
(310) 560-9270
Mailing address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306394291
N/A
—
Enumeration date
01/06/2021
Last updated
01/06/2021
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