Individual provider · Type 1 NPI
Autumn Henderson, M. ED
Developmental Therapist · Boise, ID
Practice location
11632 W Santa Barbara Dr
Boise, ID 83709-6638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
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 1477230795
Autumn Henderson, M. ED's National Provider Identifier is 1477230795, issued on Jun 28, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Boise, ID. The record was last updated on Jun 28, 2023.