Individual
DEMARCUS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
3992 E 144TH ST, CLEVELAND, OH 44128-1870
(323) 685-9718
Mailing address
3992 E 144TH ST, CLEVELAND, OH 44128-1870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/27/2020
Last updated
01/29/2021
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