Kristian T Henderson
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1932058005
StatusActive
Last updated in NPPESJan 22, 2026
Details
- NPI
- 1932058005
- Entity type
- Individual (NPI-1)
- Name
- Kristian T Henderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2026
- Certification date
- Jan 22, 2026
- Last updated
- Jan 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
9841 Cockatoo LnGarden Grove, CA 92841-2612
Phone 714-381-1624
Mailing address
9841 Cockatoo LnGarden Grove, CA 92841-2612
Phone 714-381-1624
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