Jenisys Henley-Wild

NPI #1053012088 in East Lansing, Michigan

Provider Information

NPI Number: 1053012088
Entity Type: Individual
Name: Jenisys Henley-Wild
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 16, 2023
Last Updated: Mar 16, 2023

Practice Location

Address: 2875 EYDE PKWY STE 100
City: East Lansing
State: Michigan
ZIP Code: 48823-5431
Phone: (844) 969-0252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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