Active NPI
Noel Henderson
- Behavior Technician
- Yulee, FL
National Provider Identifier
1770464216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 87009 Professional Way
Yulee, FL 32097-3400 - Phone
- (305) 807-1909
- NPI assigned
- Sep 10, 2025
- Last updated
- Sep 10, 2025
- 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 | Primary |
Addresses
Primary practice location
87009 Professional Way
Yulee, FL 32097-3400
Mailing address
83312 Purple Martin Dr
Yulee, FL 32097-2630
Phone (904) 252-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1770464216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83312 PURPLE MARTIN DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320972630",
"telephone_number": "904-252-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87009 PROFESSIONAL WAY",
"city": "YULEE",
"state": "FL",
"postal_code": "320973400",
"telephone_number": "305-807-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
- Jaime E Hatch
- Hayley a. Woolfson, D.M.D., M.S., L.L.C. (Onshore Orthodontics)
- Healing Balm Ministries of Northeast Florida (Florida Community Prevention Center, Inc.)
- Samantha Hefford-Anderson
- Casey Hemphill, RD, LDN
- Heather Nicole Hendley, LCSW SW 17644
- Andrea Higgins, APRN
- Rachel Diane Highsmith, RBT
- Lilian Rocha Hill, PT
- Regan R Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.