Iisha Henderson

NPI #1871239145 in Fulton, Maryland

Provider Information

NPI Number: 1871239145
Entity Type: Individual
Name: Iisha Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 10, 2022
Last Updated: May 10, 2022

Practice Location

Address: 8115 MAPLE LAWN BLVD STE 350
City: Fulton
State: Maryland
ZIP Code: 20759-2683
Phone: (866) 352-5010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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