Nickie Henry

NPI #1053907022 in Wildwood, Missouri

Provider Information

NPI Number: 1053907022
Entity Type: Individual
Name: Nickie Henry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 16375 PIERSIDE LN
City: Wildwood
State: Missouri
ZIP Code: 63040-1600
Phone: (636) 405-2701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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