MEDICARE: JENNA HEINRICHS BCBA

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
1	103K00000X	Behavior Analyst	1-26-89282	CA

General Provider Information

NPI Number	:	1952245243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA HEINRICHS BCBA

Provider Business Mailing Address
First Line	:	5132 N PALM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2236
Country	:	US
Telephone Number	:	559-492-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1630 E SHAW AVE STE 190
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-8114
Country	:	US
Telephone Number	:	559-492-7900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ JENNA HEINRICHS BCBA” Practice Location

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