REGINALD HENDERSON SR. (NPI# 1811429335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811429335 |
| Entity Type | Individual |
| Full Name | REGINALD HENDERSON SR. |
| Practice Address |
2525 Sw Kenilworth St Port Saint Lucie FL 34953-2575 |
| Practice Telephone | 7722076323 |
| Mailing Telephone | 7722076323 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811149099 | Reginald Quentine Henderson Sr. | Counselor | 3622 Lyckan Pkwy Ste 6008, Durham, NC 27707-2570 | 2008-10-19 |
| Street Address |
2525 SW KENILWORTH ST |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34953-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| 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 |
|---|---|---|---|---|
| 1578160297 | Amanda Christine Evangelista | Behavior Technician | 2119 Se Destin Dr, Port Saint Lucie, FL 34952-8000 | 2020-10-06 |
| 1194333187 | Yelky Urtiaga | Behavior Technician | 475 Sw Ryder Rd, Port Saint Lucie, FL 34953-6004 | 2020-07-16 |
| 1346862224 | Kayla Christine Michaloski | Behavior Technician | 1169 Sw Gastador Ave, Port Saint Lucie, FL 34953-1834 | 2020-05-13 |
| 1982160321 | Linda M Goncalves | Behavior Technician | 1173 Sw Heather St, Port Saint Lucie, FL 34983-2453 | 2019-02-11 |
| 1639648678 | Alba Nolasco | Behavior Technician | 2240 Sw Portsmouth Ln, Port Saint Lucie, FL 34953-4366 | 2018-11-20 |
| 1851871198 | Latrena Lashay Adamson | Behavior Technician | 1634 Se Seashore Ln, Port Saint Lucie, FL 34983-3893 | 2018-08-16 |
| 1558849208 | Jessica Turk | Behavior Technician | 826 Sw Commonwealth Rd, Port Saint Lucie, FL 34953-2349 | 2018-08-04 |
| 1598251365 | Alyssa Michelle Reynolds | Behavior Technician | 2749 Sw Onaway Ave, Port Saint Lucie, FL 34987-2204 | 2018-07-05 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1871080093 | Linda Jo Cutting | Behavior Technician | 10850 S Us Highway 1, Port Saint Lucie, FL 34952-6407 | 2018-04-13 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on REGINALD HENDERSON SR..
| 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.