What is Jack Henderson's NPI number?

Jack Henderson's National Provider Identifier (NPI) is 1477203164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Henderson's specialty?

Jack Henderson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jack Henderson located?

Jack Henderson's practice location on file with NPPES is 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668.

What is Jack Henderson's phone number?

The practice phone number listed in the NPPES registry for Jack Henderson is (970) 982-3476.

Is Jack Henderson's NPI active?

Yes — Jack Henderson's NPI (1477203164) is active in the NPPES registry as of the last update on 2022-03-25.

IndividualActive

Jack Henderson

NPI 1477203164 · Behavior Technician · Boulder, CO

Jack Henderson is a Behavior Technician provider in Boulder, CO (NPI 1477203164).

Provider details

NPI number: 1477203164
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES 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

4770 Baseline Rd Ste 200

Boulder, CO 80303-2668

Phone: (970) 982-3476

Fax: (855) 568-2494

Street-level locationGet directions

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Mailing address