Individual provider Active NPI

Courtney Lawn Henderson

  • Behavior Analyst
  • Antioch, TN
National Provider Identifier
1043705106
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-66721
Practice address
5380 Hickory Hollow Pkwy
Antioch, TN 37013
Phone
(615) 553-8040
NPI assigned
Jun 29, 2018
Reactivated
Feb 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-66721 Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

5380 Hickory Hollow Pkwy
Antioch, TN 37013

Mailing address

5380 Hickory Hollow Pkwy
Antioch, TN 37013
Phone (615) 553-8040

Other names 1

  • Courtney Lawn Hayes Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovations in Learning, PC Behavior Analyst PastSince Nov 30, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1043705106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 HICKORY HOLLOW PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-553-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HICKORY HOLLOW PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-553-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "COURTNEY",
        "middle_name": "LAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "deactivation_date": "2026-02-23",
        "reactivation_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-23-66721",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HAYES",
            "middle_name": "LAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.