Provider Demographics
NPI:1629431184
Name:HENLEY, LAKEYSHA (BCBA)
Entity Type:Individual
Prefix:
First Name:LAKEYSHA
Middle Name:
Last Name:HENLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONNECTPLUS-THERAPY, 1902 FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:921 CHARLIE SMITH SR HWY
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-2834
Practice Address - Country:US
Practice Address - Phone:904-538-0714
Practice Address - Fax:904-538-0714
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst