Active NPI
Tania Henderson, M. S., BCBA
- Behavior Analyst
- Pensacola, FL
National Provider Identifier
1922429703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000362
- Practice address
- 3981 Embers LNDG
Pensacola, FL 32505-3501 - Phone
- (850) 972-8467
- Fax
- (850) 807-5028
- NPI assigned
- Dec 23, 2013
- 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 Analyst | 103K00000X | 0133000362 | VA | Primary |
Addresses
Primary practice location
3981 Embers LNDG
Pensacola, FL 32505-3501
Mailing address
3981 Embers LNDG
Pensacola, FL 32505-3501
Phone (850) 972-8467
Other practice location 1
1531 Amberley Forest Rd
Virginia Beach, VA 23453
Phone (757) 362-8388
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000362 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922429703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3981 EMBERS LNDG",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325053501",
"telephone_number": "850-972-8467",
"fax_number": "850-807-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3981 EMBERS LNDG",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325053501",
"telephone_number": "850-972-8467",
"fax_number": "850-807-5028"
}
],
"practiceLocations": [
{
"address_1": "1531 Amberley Forest Rd",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "23453",
"country_code": "US",
"telephone_number": "757-362-8388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "TANIA",
"credential": "M. S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.