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NPI Code Detail

MEDICARE: SHANIQUA HENDERSON

MEDICARE:   SHANIQUA  HENDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1326901984
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANIQUA HENDERSON
Provider Business Mailing Address
First Line : 800 E 101ST TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-5322
Country : US
Telephone Number : 816-371-4180
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 101ST TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-5322
Country : US
Telephone Number : 816-371-4180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ SHANIQUA HENDERSON ” Practice Location

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