Individual
ASHLEY MARIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
12993 FROGTOWN CONNECTOR RD, WALTON, KY 41094-8447
(502) 889-6259
Mailing address
12388 SHEPPARD WAY, WALTON, KY 41094-7839
(502) 889-6259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
271596
KY
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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