Individual provider Active NPI

Wendy Lee Henner, M.A. ABS

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1225303688
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
603 E 2ND St
Tucson, AZ 85705-7872
Phone
(034) 206-7605
Fax
(520) 727-7536
NPI assigned
Mar 19, 2012
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

603 E 2ND St
Tucson, AZ 85705-7872

Mailing address

603 E 2ND St
Tucson, AZ 85705-7872
Phone (503) 420-6760

Other practice location 1

2830 N Swan Rd Ste 140
Tucson, AZ 85712-6301
Phone (360) 697-1141

Other practice location 2

20174 Front St NE
Poulsbo, WA 98370-7445
Phone (360) 697-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509003030 OR Practitioner - Mental Health Counselor 9830616077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Ah Addiction Care PC CurrentSince Apr 1, 2025 Accepting new patients
Ah Addiction Care of California PC PastSince Sep 8, 2024 Accepting new patients
Front Street Clinic Inc Past Accepting new patients

Locations

303 Twin Dolphin Dr
Ste 6006002
Redwood City, CA 94065

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1225303688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E 2ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057872",
            "telephone_number": "503-420-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E 2ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057872",
            "telephone_number": "034-206-7605",
            "fax_number": "520-727-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 N Swan Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126301",
            "country_code": "US",
            "telephone_number": "360-697-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20174 Front St NE",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983707445",
            "country_code": "US",
            "telephone_number": "360-697-1141",
            "fax_number": "360-697-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNER",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "M.A. ABS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.