Individual
CHARLES A HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 W CRAIG RD STE A, NORTH LAS VEGAS, NV 89032-5116
(702) 675-6314
Mailing address
305 NORLEN ST, LAS VEGAS, NV 89107-2233
(801) 803-8659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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