Andy Henriquez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37726 Issued in CA

Practice address

120 NE 136TH Ave Ste 220
Vancouver, WA 98684-6951

Phone

(360) 952-7052

NPI assigned

Jun 24, 2019

Last updated

Dec 27, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1386205003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE 136TH AVE STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846951",
            "telephone_number": "360-952-7052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16500 Ventura Blvd Ste 414",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914365050",
            "country_code": "US",
            "telephone_number": "818-788-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "ANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-37726",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASE MANAGER",
            "identifier": "954482700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Dawn Hendrickson, RDH
• Scott G Henke
• Christina Hennelly, FNP-C, DNP
• Barbara Henriksen, OTR/L
• Samuel Robert Henrikson, DPT
• Henry N Weber PHD and Judy W Weber PHD PLLC (Weber & Weber)
• Alyssa Henry
• Corinne Henry, RN
• Dustin Henry, DC, MS
• Paula Henry, LMP

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.