Jeffeson A Henao Sr.
Individual provider Active NPI Behavior Technician · Winthrop, MA
NPI 1033979778 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1033979778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 18 Trident Ave # Aprt1
Winthrop, MA 02152-1206 - Phone
- (203) 808-5529
- Fax
- (203) 808-5529
- NPI assigned
- Mar 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MA | ||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
18 Trident Ave # Aprt1
Winthrop, MA 02152-1206
Mailing address
18 Trident Ave # Aprt1
Winthrop, MA 02152-1206
Phone (203) 808-5529
Other providers in Winthrop, MA
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- Brenda Hammerstrom
- Lisa Marie Hansen
- Harbor and Oaks Counseling LLC
- Erin Harrison
- Shauna Hodge
- Jeanne Marie Holgersen
- Home Care With Grace
- Carol M Homeyer
- Jahan Monirian PC
All providers in Winthrop, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.