Individual
ASHLEIGH HENTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 ROYAL LN # 300, DALLAS, TX 75229-3179
(888) 754-0398
Mailing address
1712 VALLEY VIEW LN APT 1040, IRVING, TX 75061-3520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-5935-345174
TX
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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