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

Mikelle Rae Henrichsen

Individual provider Behavior Technician · NPI 1962229393

Mikelle Rae Henrichsen is a Behavior Technician in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

15116 N Cotton Ln
Surprise, AZ 85388-9618
Phone: (623) 322-8250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-367768 (AZ)

Record details

NPI number1962229393
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address15116 N Cotton Ln, Surprise, AZ 85388-9618

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