NPI 1003438854

Lauren Elizabeth Henderson

Practitioner Behavior Technician Duluth, GA

Practice location

Address: 2810 Premiere Pkwy, Duluth, GA 30097-5014
Phone: (229) 485-9168
Mailing address: PO Box 399318, San Francisco, CA 94139-9318

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003438854
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2020
Record last updated: 15 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.