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Brianna Henderson

Behavior Technician in Gresham, OR. Individual provider (NPI-1).

NPI number1194471003
StatusActive
Last updated in NPPESMar 1, 2022

Details

NPI
1194471003
Entity type
Individual (NPI-1)
Name
Brianna Henderson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2022
Certification date
Mar 1, 2022
Last updated
Mar 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1851 Nw Civic Dr
Gresham, OR 97030-5566

Phone 971-292-1050

Mailing address

1851 Nw Civic Dr
Gresham, OR 97030-5566

Phone 971-292-1050

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