Henderson, Reginald
Henderson, Reginald is an sole proprietor health care provider with primary practice located at 2525 Sw Kenilworth St , Port Saint Lucie FL 34953-2575. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Henderson, Reginald can be contacted via phone (772) 207-6323.Contact Information
Primary practice address
2525 Sw Kenilworth St
Port Saint Lucie FL 34953-2575
Phone: (772) 207-6323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Florida |
Profile Details
| NPI number | 1811429335 |
|---|---|
| LBN Legal business name | Henderson, Reginald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2017 |
| Last updated | Apr 3rd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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