Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEWANNA HENDERSON, PA-C, BA
Active Sole ProprietorDEWANNA HENDERSON, PA-C, BA is a Assistant Behavior Analyst healthcare provider located in OAK RIDGE, Tennessee. NPI 1699014746 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · OAK RIDGE, TN
Registration Details
- NPI Number
- 1699014746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2013 (13.493972102491 yrs)
- Last Updated
- Jan 17, 2017
- Licenses
-
2315 (TN)7034 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 S BENEDICT AVEOAK RIDGE, TN, 378307310Browse TN providers · Browse ZIP 37830
- Phone
- 8656850022
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
- Additional Specialty
- Assistant Behavior Analyst
- Additional Specialty
- Physician Assistant
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.