Individual
HALEY HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 MILLER AVE, BLOOMSBURG, PA 17815-1830
(570) 204-7518
Mailing address
MISSION AUTISM CLINICS, 351 TENNY STREET, BLOOMSBURG, PA 17815
(888) 726-4774
(570) 362-5112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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