Deshanell P Henagan

NPI #1013618214 in Lancaster, California

Provider Information

NPI Number: 1013618214
Entity Type: Individual
Name: Deshanell P Henagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 14, 2023
Last Updated: Mar 14, 2023

Practice Location

Address: 626 W LANCASTER BLVD # 52
City: Lancaster
State: California
ZIP Code: 93534-3108
Phone: (661) 258-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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