Camille Olivia Henkle

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11801 Pierce St Ste 200
Riverside, CA 92505-4400

Phone

(951) 363-0200

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1972256592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 MERRILL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062362",
            "telephone_number": "951-232-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 PIERCE ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054400",
            "telephone_number": "951-363-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKLE",
        "first_name": "CAMILLE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Henderson, PA-C
• Anita Pauline Hendricks
• Glenmore Hendricks, NP
• Alana Kay Hendrix, LMFT
• Susan K Hendrix, LVN
• Tyler Henning
• Catherine Henrichsen
• Brian Henriquez
• Agnes Claudine Cecile Henry-Codorniz, M.D.
• Brandon Allen Henry, M.D.

• All providers in Riverside, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.