Individual
JESSICA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 LOS FELIZ ST UNIT 2072, LAS VEGAS, NV 89156-8026
(702) 808-9204
Mailing address
2110 LOS FELIZ ST UNIT 1069, LAS VEGAS, NV 89156-8023
(702) 808-9204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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