Active NPI
Paytlyn Gail Henderson
- Behavior Technician
- Sorrento, FL
National Provider Identifier
1306742218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 30707 Edgewood St
Sorrento, FL 32776-9068 - Phone
- (407) 630-3447
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
30707 Edgewood St
Sorrento, FL 32776-9068
Mailing address
30707 Edgewood St
Sorrento, FL 32776-9068
Phone (407) 630-3447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1306742218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30707 EDGEWOOD ST",
"city": "SORRENTO",
"state": "FL",
"postal_code": "327769068",
"telephone_number": "407-630-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30707 EDGEWOOD ST",
"city": "SORRENTO",
"state": "FL",
"postal_code": "327769068",
"telephone_number": "407-630-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "PAYTLYN",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sorrento, FL
- Felecia Michelle Freeman, R.N.
- George R Ikeler MD PA (Sorento Medical Clinic)
- George R Ikeler, M.D P.a.
- Linda Marie Gibson-Young, CRNP
- Sharon L Harrison, DOULA
- Ronald E Holman, D.D.S.
- George Raymond Ikeler, M.D.
- Nathalie Jimenez, RN
- Kids Count Therapy Services (Julie P Crowley)
- Adler Labossiere, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.