Jodi-Ann Shanique Henningham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24-390066 Issued in FL

Practice address

4050 N Pine Island Rd Apt 2F
Sunrise, FL 33351-6526

Phone

(954) 439-2496

NPI assigned

Nov 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1144043472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 N PINE ISLAND RD APT 2F",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 N PINE ISLAND RD APT 2F",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516526",
            "telephone_number": "954-439-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 N Federal Hwy Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871663",
            "country_code": "US",
            "telephone_number": "754-399-8507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNINGHAM",
        "first_name": "JODI-ANN",
        "middle_name": "SHANIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24-390066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sokety Heng, PHARMD
• Fernando Agustin Henin, DC
• Tedric Cornelius Henneghan, MD
• Kourtney Hennigan, RN
• Kevin S. Henning, M.D.
• Rachel E. Henry Bermudez, AA
• Stephanie S Henry, LCSW, CAP
• Tasha Monique Henry, APRN
• Hanna Katherine Herbert, BS SLP-A
• Andy Hermoso Romero

• Behavior Technician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.