Active NPI
Ariel Patrice Henderson, RBT
- Behavior Technician
- Vienna, VA
National Provider Identifier
1003539453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8230 Leesburg Pike Ste 740
Vienna, VA 22182-2641 - Phone
- (877) 504-4141
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
8230 Leesburg Pike Ste 740
Vienna, VA 22182-2641
Mailing address
105 Ticonderoga Dr
Kearneysville, WV 25430-2861
Phone (757) 752-9786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1003539453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 TICONDEROGA DR",
"city": "KEARNEYSVILLE",
"state": "WV",
"postal_code": "254302861",
"telephone_number": "757-752-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 LEESBURG PIKE STE 740",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822641",
"telephone_number": "877-504-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ARIEL",
"middle_name": "PATRICE",
"name_prefix": "Mrs.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.