Individual
WILLIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 MOSNSLIA AVE, LAS VEGAS, NV 89108
(702) 581-8613
Mailing address
1112 MASNSLIA AVE, LAS VEGAS, NV 89108
(702) 581-8613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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