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

Tyrell Allen Henderson, O2/03/2002

Individual provider Behavior Technician · NPI 1003779760

Tyrell Allen Henderson, O2/03/2002 is a Behavior Technician in Sacramento, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2845 Marconi Ave
Sacramento, CA 95821-5264
Phone: (916) 755-6977
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1003779760
Entity typeIndividual (Type 1)
GenderMale
Credentials O2/03/2002
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Other providers in Sacramento