Kimberly Henning
Individual provider Active NPI Behavior Technician · Santa Fe, NM
NPI 1295375012 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1295375012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 690 Gonzales Rd Lot 16
Santa Fe, NM 87501-6152 - Phone
- (505) 988-7284
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
690 Gonzales Rd Lot 16
Santa Fe, NM 87501-6152
Mailing address
690 Gonzales Rd Lot 16
Santa Fe, NM 87501-6152
Phone (505) 988-7284
Other providers in Santa Fe, NM
- Kelly Hendricks
- Kristin Wayne Hendricks
- Helen Elizabeth Hendrickson
- Jaclyn Henley
- Robert Hennelly
- Julie Ann Henry
- Wilhelm F Heppe
- Laarni Herbert
- Heritage Homehealth Care
- Devon Herman
All providers in Santa Fe, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.