Ashley Marie Henderson, M.ED., BCBA, LBA
Individual provider Active NPI Behavior Analyst · Walton, KY
NPI 1992478150 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1992478150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 271596 (KY)
- Practice address
- 12993 Frogtown Connector Rd
Walton, KY 41094-8447 - Phone
- (502) 889-6259
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271596 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Education for the Extraordinary Inc. | Current |
Accepting new patients |
Locations
12993 Frogtown Connector Rd
Walton, KY 41094
Phone (502) 889-6259
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 271596 | KY | Yes |
Addresses
Primary practice location
12993 Frogtown Connector Rd
Walton, KY 41094-8447
Mailing address
12388 Sheppard Way
Walton, KY 41094-7839
Phone (502) 889-6259
Other providers in Walton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.