Individual provider · Type 1 NPI

Dewanna Henderson, PA-C, BA

Assistant Behavior Analyst · Oak Ridge, TN

NPI number 1699014746 Active

Practice location

305 S Benedict Ave
Oak Ridge, TN 37830-7310

Mailing address

5729 Lebanon Rd, Ste 144-425
Frisco, TX 75034-7260

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2315 (TN)
Assistant Behavior Analyst Primary 106E00000XNone listed
Physician Assistant 363A00000X7034 (GA)

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

About NPI 1699014746

Dewanna Henderson, PA-C, BA's National Provider Identifier is 1699014746, issued on Feb 10, 2013. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Oak Ridge, TN. The record was last updated on Jan 17, 2017.