Individual
LESLY NICKOLE HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5290 SHAWNEE RD STE 101, ALEXANDRIA, VA 22312-2377
(888) 344-5977
Mailing address
7120 SAMUEL MORSE DR STE 150, COLUMBIA, MD 21046-3420
(888) 344-5977
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-419924
MD
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
04/07/2026
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