Kourtney Hendrix

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4203 SW High Meadows Ave
Palm City, FL 34990-3726

Phone

(772) 222-5560

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Treasure Coast ABA Services

  • Behavior Technician
  • Palm City, FL
  • NPI 1316669732
  NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1750026480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SW VEAL CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SW HIGH MEADOWS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903726",
            "telephone_number": "772-222-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "KOURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Hartford, ARNP
• Angela Hayes
• Healthwise Enterprises, Inc
• Carolyn Fitzgerald Hellmann, LCSW
• Helping Hands Pediatric Therapy and Wellness PLLC
• Michael James Hennings, D.C.
• Herms Anesthesia Staffing, Inc
• Bradley August Herms, CRNA
• Kelly Colleen Herms, CRNA
• Alexandra Margarita Hernandez, MSW

• Behavior Technician in Palm City, FL
• Providers in Palm City, FL by specialty
• Behavior Technician in Florida

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