Individual
DR. TRAVIS BRETT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, BCBA
Contact information
Practice address
70 GREENLEAF ST, BRATTLEBORO, VT 05301-6197
(904) 813-2660
Mailing address
70 GREENLEAF ST, BRATTLEBORO, VT 05301-6197
(904) 813-2660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6972
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021099300
—
FL
Enumeration date
06/14/2017
Last updated
08/01/2025
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