Kaleb Mikal Henson

NPI #1205656865 in Jerome, Idaho

Provider Information

NPI Number: 1205656865
Entity Type: Individual
Name: Kaleb Mikal Henson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2024
Last Updated: Oct 16, 2024

Practice Location

Address: 130 S LINCOLN AVE
City: Jerome
State: Idaho
ZIP Code: 83338-2631
Phone: (208) 944-4679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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