CARRIE HENDERSON (NPI# 1083229306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083229306 |
| Entity Type | Individual |
| Full Name | CARRIE HENDERSON |
| Practice Address |
2401 Mustang Dr Grapevine TX 76051-8640 |
| Practice Telephone | 4699519994 |
| Mailing Telephone | 4699519994 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922664945 | Carrie Henderson | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2019-05-15 |
| 1043699473 | Carrie Skinner Henderson | Nurse Practitioner | 2210 Laurens Rd, Greenville, SC 29607-3224 | 2015-05-19 |
| 1699010835 | Carrie M Henderson | Occupational Therapist | 6040 Harford Rd, Baltimore, MD 21214-1327 | 2012-11-28 |
| 1831467620 | Carrie Ann Henderson | Speech-Language Pathologist | 5447 Woodward Ave, Detroit, MI 48202-4009 | 2011-12-07 |
| 1982751848 | Carrie Morgan Henderson | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-04 |
| Street Address |
2401 MUSTANG DR |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346316809 | Karen Falterer | Social Worker | 2401 Mustang Dr, Suite# 200, Grapevine, TX 76051-8640 | 2006-11-27 |
| 1154938538 | Shelby Rabjohn | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-09-29 |
| 1386255875 | Keyonna Lamb | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-08-10 |
| 1689285140 | Kaylan Hardin | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-08-10 |
| 1063022283 | Katherine Vara | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-08-03 |
| 1487270096 | Brookley Baker | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-06-19 |
| 1669098281 | Alexis Mckinney | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-06-19 |
| 1841814316 | Savannah Miller | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-06-01 |
| 1255954699 | Alexandra Broyles | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-05-20 |
| 1548882541 | Elizebeth Ruth Dull | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| 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 |
|---|---|---|---|---|
| 1073017703 | Laura Jauregui | Behavior Technician | 820 E Dove Loop Rd Apt 525, Grapevine, TX 76051-7284 | 2018-03-19 |
| 1154938538 | Shelby Rabjohn | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-09-29 |
| 1386255875 | Keyonna Lamb | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-08-10 |
| 1689285140 | Kaylan Hardin | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-08-10 |
| 1063022283 | Katherine Vara | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-08-03 |
| 1487270096 | Brookley Baker | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-06-19 |
| 1669098281 | Alexis Mckinney | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-06-19 |
| 1841814316 | Savannah Miller | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-06-01 |
| 1255954699 | Alexandra Broyles | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-05-20 |
| 1548882541 | Elizebeth Ruth Dull | Behavior Technician | 2401 Mustang Dr, Grapevine, TX 76051-8640 | 2020-05-12 |
| Find all providers in GRAPEVINE | ||||
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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.