Laura Danielle Henrie

NPI #1730788183 in Caldwell, Idaho

Provider Information

NPI Number: 1730788183
Entity Type: Individual
Name: Laura Danielle Henrie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 17, 2020
Last Updated: Oct 17, 2020

Practice Location

Address: 3022 S INDIANA AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-5929
Phone: (208) 600-3677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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