Phoenix Ariel Henry

NPI #1144039900 in North Riverside, Illinois

Provider Information

NPI Number: 1144039900
Entity Type: Individual
Name: Phoenix Ariel Henry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

Practice Location

Address: 7222 W CERMAK RD STE 500
City: North Riverside
State: Illinois
ZIP Code: 60546-1443
Phone: (866) 695-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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