NPI 1295459964

Lanita Henderson, CIDDT

Practitioner Day Training/Habilitation Specialist Hattiesburg, MS

Practice location

Address: 41 Bonhomie Rd, Hattiesburg, MS 39401-8648
Phone: (601) 450-0431
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X Licence 0610 (MS)

Other Day Training/Habilitation Specialist providers in Mississippi →

Registry record

NPI: 1295459964
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2022
Record last updated: 27 Sep 2022

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.