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Individual

PEYTON MARIE HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
805 MADISON ST SE STE 2E, HUNTSVILLE, AL 35801-4424
(256) 755-4278
Mailing address
166 GRAY ST, TRION, GA 30753-1402
(706) 936-1356

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB709777
AL

Other

Enumeration date
04/05/2022
Last updated
04/05/2022
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