Individual provider · Type 1 NPI

Kayla Renne Henderson

Developmental Therapist · Olive Hill, KY

NPI number 1114454147 Active

Practice location

12008 W US Highway 60
Olive Hill, KY 41164-8363

Call (270) 763-8225 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Developmental Therapist 222Q00000XNone listed
Developmental Therapist Primary 222Q00000X201172996 (KY)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1114454147

Kayla Renne Henderson's National Provider Identifier is 1114454147, issued on May 22, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Olive Hill, KY. The record was last updated on Jan 24, 2024.