Kyla Renee Henderson

NPI #1275394702 in Morris, Illinois

Provider Information

NPI Number: 1275394702
Entity Type: Individual
Name: Kyla Renee Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 1715 N DIVISION ST
City: Morris
State: Illinois
ZIP Code: 60450-3100
Phone: (815) 510-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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