Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Henderson, MED

Individual provider Developmental Therapist · NPI 1477230795

Autumn Henderson, MED is a Developmental Therapist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

11632 W Santa Barbara Dr
Boise, ID 83709-6638
Phone: (208) 340-5677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (ID)

Record details

NPI number1477230795
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorYes
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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