Breanna Henes, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

02011328 Issued in FL

Practice address

8700 Rolling Brook LN
Jacksonville, FL 32256-9024

Phone

(904) 534-6935

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ausome Behaviors LLC

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1144757477
  NPD
• Ausome Movers LLC

  • Occupational Therapist
  • Jacksonville, FL
  • NPI 1386391134
  NPD
• Behavioral Solutions Consulting, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1104260488
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1952912586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12633 AVERY HILL CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255995",
            "telephone_number": "734-883-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 ROLLING BROOK LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569024",
            "telephone_number": "904-534-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9357 Philips Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322561368",
            "country_code": "US",
            "telephone_number": "904-683-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENES",
        "first_name": "BREANNA",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "02011328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaia Hendrickson, RBT
• Amber Noel Hendrix, RBT
• Grace Hendrix, PA
• Phyllis Lillian Hendry, M.D.
• Mary Armanious Hendy, O.D.
• Samantha Marie Henke, PA-C
• Nichole Christiane Henkes
• Kimberly Michele Henley-Brown, DDS
• CJ Henley, DMD
• Lewalie Julian Henley, DC

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.