IndividualActive
Alexis Henning, RBT
NPI 1104772011 · Behavior Technician · Dale, IN
Provider details
- NPI number
- 1104772011
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-26-519643 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
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
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
556 S Washington St
Dale, IN 47523
Phone: (812) 330-4460
Fax: (812) 330-4461
Street-level locationGet directions
Mailing address
1923 S Liberty Dr
Bloomington, IN 47403-5146
Additional practice locations (1)
- 1923 S Liberty DrBloomington, IN 47403-5146Phone: (812) 330-4460Fax: (812) 330-4461
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.