Christine Hendrix

Key facts

NPI

1043041965

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

RBT-24-353789 (IN)

Practice address

21 S Park Blvd Ste 21
Greenwood, IN 46143-8838

Phone

(317) 449-2104

Fax

(317) 520-8200

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2024.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1043041965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S PARK BLVD STE 21",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438838",
            "telephone_number": "317-449-2104",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-353789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

• Cortney Hendress, NP-C
• Monica Hendricks, RBT
• Rita A Hendricks
• Grace Christine Hendrickson, DO
• Natalie Hendrix-Evans
• Anna Henline
• Werner Heinrich Henning, D.O.
• Corbin Bryce Henninger
• Molly Justine Henry, MS, NBC-HWC
• Arthur Leland Hensch, D.C.

All providers in Greenwood, IN · Behavior Technician in Indiana