Tyrell Henderson, O2/03/2002
NPI 1003779760 · Behavior Technician · Sacramento, CA
Tyrell Henderson, O2/03/2002 is a Behavior Technician provider in Sacramento, CA (NPI 1003779760).
Provider details
- NPI number
- 1003779760
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- O2/03/2002
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-08
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Tyrell Henderson's NPI number?
- Tyrell Henderson's National Provider Identifier (NPI) is 1003779760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyrell Henderson's specialty?
- Tyrell Henderson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tyrell Henderson located?
- Tyrell Henderson's practice location on file with NPPES is 2845 Marconi Ave, Sacramento, CA 95821-5264.
- What is Tyrell Henderson's phone number?
- The practice phone number listed in the NPPES registry for Tyrell Henderson is (916) 755-6977.
- Is Tyrell Henderson's NPI active?
- Yes — Tyrell Henderson's NPI (1003779760) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.