Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRELL ALLEN HENDERSON, O2/03/2002
ActiveTYRELL ALLEN HENDERSON, O2/03/2002 is a Behavior Technician healthcare provider located in SACRAMENTO, California. NPI 1003779760 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SACRAMENTO, CA
Registration Details
- NPI Number
- 1003779760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2025 (0.65401585738087 yrs)
- Last Updated
- Dec 8, 2025
Practice Information
- Address
-
2845 MARCONI AVESACRAMENTO, CA, 958215264Browse CA providers · Browse ZIP 95821
- Phone
- 9167556977
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| RONALD BRAXTON II | — | 1255805925 |
| TIA NICOLE AUSTIN | — | 1801120167 |
| MS. SAMANTHA LEE CIRSTEA | RS | 1134445141 |
| MS. ELIZABETH JANELE GOMEZ-LOGAN | — | 1699034702 |
| LAKEA DIWA | — | 1548663271 |
| MS. AILEENETTE CALDERON | M.A. | 1700262102 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.