Mikelle Rae Henrichsen

NPI #1962229393 in Surprise, Arizona

Provider Information

NPI Number: 1962229393
Entity Type: Individual
Name: Mikelle Rae Henrichsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 25, 2024
Last Updated: Sep 25, 2024

Practice Location

Address: 15116 N COTTON LN
City: Surprise
State: Arizona
ZIP Code: 85388-9618
Phone: (623) 322-8250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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