Active NPI 1588165690 Individual Practitioner Female Practitioner

Melanie Nicole Hendersen , BCBA

Behavior Analyst • Petaluma, CA

Professional Overview & Biography Verified Profile Summary

Melanie Hendersen, BCBA is a registered healthcare professional specializing in Behavior Analyst in Petaluma, CA. Practice services are available at 101 H ST STE L under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 H St Ste L

Petaluma, CA 949525100

Telephone 8662062008

Fax 8663171665

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Petaluma, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.8 Yrs

Regional Practice Density

41 Specialists

Practicing in Petaluma, CA (20508 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-08

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-21-55028

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

1025 Atlantic Ave Ste 101

Alameda, CA 945011188

Phone: 5102688120

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jacqueline Anguiano

Behavior Technician

NPI 1003312133

Sakiyia Adams-Kinsey

Behavior Technician

NPI 1003317553

Kimberly Perez

Behavior Technician

NPI 1003383639

Michaela Raff

Behavior Technician

NPI 1003456971

Giovanny Guerrero Diaz

Behavior Technician

NPI 1003565714

Timothy Corder

Behavior Technician

NPI 1013474709

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location November 08, 2021

Registered at 101 H ST STE L, PETALUMA, CA 949525100 (Tel: 8662062008)

👤

Provider Name / Credentials Updated November 08, 2021

Recorded as MELANIE HENDERSEN, BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2021

Behavior Analyst (License #1-21-55028 in CA)

📍

Updated Practice Location August 12, 2021

Registered at 1025 ATLANTIC AVE STE 101, ALAMEDA, CA 945011188 (Tel: 5102688120)

📍

Updated Business Mailing Address August 12, 2021

Registered at 3927 ARTHUR ASHE CIR, SANTA ROSA, CA 954072501 (Tel: 7078366829)

✅

NPI Profile Active February 23, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2018

Registered at 101 H ST STE L, PETALUMA, CA 949525100 (Tel: 8662062008)

📍

Updated Business Mailing Address February 23, 2018

Registered at 1925 TERRY RD, SANTA ROSA, CA 954032515

👤

Provider Name / Credentials Updated February 23, 2018

Recorded as MELANIE HENDERSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2018

Behavior Technician

🟢

Initial NPI Registration & Enumeration February 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588165690

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 23, 2018

Last Update: November 08, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3927 Arthur Ashe Cir

Santa Rosa, CA 954072501

Phone: 7078366829

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.