Kaitlin Henson
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1104775295
StatusActive
Last updated in NPPESJan 22, 2026
Details
- NPI
- 1104775295
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Henson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2026
- Certification date
- Jan 22, 2026
- Last updated
- Jan 22, 2026
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 | – | – | Yes |
Practice location
11799 Sebastian Way Ste 103Rancho Cucamonga, CA 91730-0708
Phone 909-353-7547
Mailing address
12358 Ross Pl Apt AYucaipa, CA 92399-1772
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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All 1,922 Behavior Technician providers in Rancho Cucamonga · All 5,953 providers in Rancho Cucamonga
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