Individual
LA TOYA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4144 N 3RD AVE, APT 1, PHOENIX, AZ 85013-8501
(702) 945-8773
Mailing address
1050 E UNIVERSITY DR, MESA, AZ 85203-8046
(480) 590-0734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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