MISS Caelea Renee Henderson

NPI #1144957820 in Anchorage, Alaska

Provider Information

NPI Number: 1144957820
Entity Type: Individual
Name: MISS Caelea Renee Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2022
Last Updated: Aug 3, 2022

Practice Location

Address: 4000 SAN ERNESTO AVE
City: Anchorage
State: Alaska
ZIP Code: 99508-2874
Phone: (907) 729-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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