Lily Henson
Behavior Technician in Vienna, VA. Individual provider (NPI-1).
NPI number1104500974
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1104500974
- Entity type
- Individual (NPI-1)
- Name
- Lily Henson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2023
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-278456 | – | Yes |
Practice location
1964 Gallows Rd Ste 280Vienna, VA 22182-3877
Phone 571-533-3456
Mailing address
1964 Gallows Rd Ste 280Vienna, VA 22182-3877
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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