Ebony Majestic Henry, M.S.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-246615 Issued in CA

Practice address

851 S Kenmore Ave Apt 24
Los Angeles, CA 90005-1941

Phone

(818) 572-6762

NPI assigned

Jul 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1144708454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18860 NORDHOFF ST STE 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S KENMORE AVE APT 24",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051941",
            "telephone_number": "818-572-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 S Kenmore Ave Apt 24",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900051941",
            "country_code": "US",
            "telephone_number": "818-572-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "EBONY",
        "middle_name": "MAJESTIC",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-22-246615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Lo DDS Inc
• Adela Henry, DPT
• Alaina Henry, NP
• Caroline Henry
• Cartee Henry II
• Edward Eugene Henry
• Eileen Henry, L.AC., PHD
• George Kahle Henry, PHD
• Janelle Henry, CPNP-PC
• Janice Henry

• Behavior Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.