Jack Ryan Henderson
Jack Ryan Henderson is a Behavior Technician in Boulder, Colorado. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4770 Baseline Rd Ste 200Boulder, CO 80303-2668
Phone: (970) 982-3476
Fax: (855) 568-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1477203164 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 25, 2022 |
| Last updated in NPPES | March 25, 2022 |
| Certification date | March 25, 2022 |
| Mailing address | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 |
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