Nickie Henry

Behavior Analyst · Wildwood, MO

Individual Active NPI

NPI number 1053907022

Practice location

16375 Pierside Ln
Wildwood, MO 63040-1600
Phone
(636) 405-2701

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NPI record

NPI
1053907022
Entity type
Individual (Type 1)
Enumeration date
December 14, 2020
Last updated
December 14, 2020
Certified
December 14, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 2020040754 MO

About Nickie Henry

Nickie Henry is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 16375 Pierside Ln, Wildwood, MO 63040-1600. The NPI number 1053907022 was assigned on December 14, 2020 and the record was last updated on December 14, 2020.

Nickie Henry lists a license in the registry: #2020040754 (MO) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nickie Henry?

The NPI number is 1053907022.

What is the phone number of Nickie Henry?

The phone number listed for the practice location is (636) 405-2701.

Where is Nickie Henry located?

16375 Pierside Ln, Wildwood, MO 63040-1600.

What is the taxonomy code for Nickie Henry?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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