MS. Holly Angelica Star Henderson, BT

NPI #1417658386 in Monroe, Georgia

Provider Information

NPI Number
1417658386
Entity Type
Individual
Name
MS. Holly Angelica Star Henderson, BT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
BT
Enumeration Date
Mar 16, 2023
Last Updated
Mar 16, 2023

Practice Location

Address
2105 RAEGAN CT
City
Monroe
State
Georgia
ZIP Code
30655-6263
Phone
(678) 206-5726

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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