Individual
STEPHANIE RENEE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MAY RD, WENTZVILLE, MO 63385-3313
(314) 305-0041
Mailing address
11946 GLENVALLEY DR, MARYLAND HEIGHTS, MO 63043-1629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2025023043
MO
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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