Lysha Henneberg

NPI #1053157651 in Lenexa, Kansas

Provider Information

NPI Number: 1053157651
Entity Type: Individual
Name: Lysha Henneberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 2, 2024
Last Updated: Jul 2, 2024

Practice Location

Address: 12760 W 87TH STREET PKWY STE 100
City: Lenexa
State: Kansas
ZIP Code: 66215-2878
Phone: (657) 444-9002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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