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General NPI Number Information
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NPI Number | 1851084032
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Entity Type | Individual
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Provider Name | CHRISTINA HENDERSON BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1619 N HAMPTON RD
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City | DESOTO
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State | TX
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Zip | 75115-2303
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Country | US
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Telephone | 214-939-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 724 HAVENCREST DR
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City | DESOTO
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State | TX
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Zip | 75115-4618
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Country | US
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Telephone | 469-337-3202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 3731
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License Number State | TX
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