Edrienna Henderson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-80075

Practice address

5280 Snapfinger Park Dr
Decatur, GA 30035-4044

Phone

(877) 288-4760

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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.

• Waves Behavioral Solutions, LLC

  • Behavior Analyst
  • Largo, FL
  • NPI 1598254179
  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1861089427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 SNAPFINGER PARK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354044",
            "telephone_number": "877-288-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 SNAPFINGER PARK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354044",
            "telephone_number": "877-288-4760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 W Bay Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702249",
            "country_code": "US",
            "telephone_number": "727-641-0218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EDRIENNA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-23-14876",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-25-80075",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amani Helvy, OTR/L
• Donna A Hemmings, FNP
• Lucille Henderson-Weaver
• Alexandria Henderson
• Donna H Henderson, M.S.,R.D.,L.D.
• Paula Denise Henderson, RT(R)
• Samantha Henderson, AU.D.
• Jenna Rae Hendler, PA-C
• Carolyn Gaines Hendricks, NP
• Shannon Hendricks

• Behavior Analyst in Decatur, GA
• Providers in Decatur, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.