Timothy Dale Henson Jr., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB407804 Issued in NU

Practice address

900 Cox Rd Ste C
Gastonia, NC 28054-3433

Phone

(828) 455-3446

NPI assigned

Aug 7, 2020

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Ignited Minds ABA Inc

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1649947656

  Behavior Analyst

  NPD
• Delta Behavioral Group, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1487904041
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1306456942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COX RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543433",
            "telephone_number": "828-455-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COX RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543433",
            "telephone_number": "828-455-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "BACB407804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughan Tyrone Hendrix5, DDS
• Henning and Associates Inc
• Henning and Associates Inc.
• Katie Henry
• Thomas Michael Henry, PHARMD, BCPS
• Amanda Herbin
• Heritage Oaks LLC (Magnolia Gardens)
• Dulce Hernandez Jimenez
• Doris Hernandez
• Nijee Herndon

• Behavior Analyst in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.