MS. KATHLEEN ANNE HENDERSON (NPI# 1356818272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356818272 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ANNE HENDERSON |
| Practice Address |
2150 River Plaza Dr Ste 410 Sacramento CA 95833-4140 |
| Practice Telephone | 8667278274 |
| Mailing Telephone | 8667278274 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 E Orangewood Ave, Anaheim, CA 928056807 | 8002494961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296597 | Kathleen M Henderson | Internal Medicine | 1 Commerce St, Internal Medicine, Lincoln, RI 02865-1168 | 2005-06-27 |
| 1285260570 | Kathleen Ann Henderson | Clinical Nurse Specialist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-18 |
| 1174007157 | Kathleen Henderson | Social Worker | 310 La Jara St, Bloomfield, NM 87413-6626 | 2018-09-17 |
| 1154810596 | Kathleen N Henderson | Nurse Practitioner | 1500 Sw 10th Ave, Topeka, KS 66604-1301 | 2018-05-01 |
| 1871873943 | Kathleen Henderson | Registered Nurse | 10065 E Harvard Ave, Suite 400, Denver, CO 80231-5968 | 2011-08-22 |
| 1316108095 | Kathleen Henderson | Physical Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-24 |
| 1174782742 | Kathleen Anna Henderson | Pediatrics | 4700 Seton Center Pkwy, Suite # 125, Austin, TX 78759-5295 | 2008-06-08 |
| 1477759264 | Kathleen Henderson | Nurse Practitioner | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2007-06-27 |
| 1245323401 | Kathleen Henderson | Physician Assistant | 1 Norton Ave, Oneonta, NY 13820 | 2006-10-02 |
| 1578584090 | Kathleen K Henderson | Nurse Practitioner | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-07-21 |
| Street Address |
2150 RIVER PLAZA DR STE 410 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95833-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751081 | Kelley Davenport | Behavioral Analyst | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833 | 2013-07-05 |
| 1831705193 | Jamie Michelle Carino | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-09-21 |
| 1841806106 | Sabrinna Kay | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-09-21 |
| 1194331454 | Maria Soratorio | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-09-21 |
| 1851907216 | Nicole Lane | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-09-21 |
| 1780297713 | Mailealii Sagiao | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-08-28 |
| 1780297721 | Gillian Lewan | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-08-28 |
| 1841808144 | Bridgette Suitor | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-07-22 |
| 1326656786 | Cadel Beedie | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-07-21 |
| 1497378186 | Genevieve Ngo | Behavior Technician | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833-4140 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| 1508385949 | Victoria Gabriella Lobatos | Behavioral Analyst | 2915 Azevedo Dr, Sacramento, CA 95833 | 2017-09-18 |
| 1083131908 | Jody Ellen Sytten | Registered Nurse | 2890 Gateway Oaks, Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1588181291 | Nora Catherine Myer | Registered Nurse | 2890 Gateway Oaks Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1487177689 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1630 West El Camino Ave, Sacramento, CA 95833 | 2017-07-19 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1194170563 | Tia Lorraine Johnson | Behavioral Analyst | 1416 Brewerton Dr #306, Sacramento, CA 95833 | 2016-05-04 |
| 1194075671 | Jennifer Lynn Reddy | Pharmacist | 2200 River Plaza Drive, Sacramento, CA 95833 | 2012-09-12 |
| 1851693295 | Ponce De Leon Dental | Dentist | 1589 W. El Camino Ave., Ste. 108, Sacramento, CA 95833 | 2010-11-17 |
| 1437483880 | Kaiser Parmenente | General Acute Care Hospital | 2654 El Centro Rd, Sacramento, CA 95833 | 2009-10-01 |
| Find all providers in zip 95833 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| 1366041105 | Brooke Doutherd | Behavior Technician | 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 | 2020-10-22 |
| 1740889633 | Catherine Andrade | Behavior Technician | 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 | 2020-10-21 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1609473156 | Joshua A Soto | Behavior Technician | 1300 Ethan Way Ste 100, Sacramento, CA 95825-2295 | 2020-10-07 |
| 1184231714 | Nancy Vue | Behavior Technician | 276 Olmstead Dr, Sacramento, CA 95838-4742 | 2020-09-28 |
| 1609482090 | Javonte Wills | Behavior Technician | 511 9th St Apt 2, Sacramento, CA 95814-1340 | 2020-09-21 |
| 1861006850 | Ayanna Enzy Johnson | Behavior Technician | 1400 Brewerton Dr, Sacramento, CA 95833-1981 | 2020-09-07 |
| 1740894138 | Esmeralda Rodriguez | Behavior Technician | 725 Howe Ave Apt 66, Sacramento, CA 95825-4612 | 2020-09-02 |
| 1881207413 | Angela Santana | Behavior Technician | 1451 River Park Dr Ste 400, Sacramento, CA 95815-4507 | 2020-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95833 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.