Individual
DYSHENA KIERA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1233 EAGLE LNDNG PKWY STE A&B, STOCKBRIDGE, GA 30281-6399
(404) 480-3842
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2626
(615) 361-4000
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-130584
GA
Other
Enumeration date
08/07/2020
Last updated
09/29/2022
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