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HOLLY HENDERSON
NPI 1073480067
Day Training/Habilitation Specialist in Los Angeles, CA

Active since October 22, 2025
12021 WILMINGTON AVE BLDG 18, LOS ANGELES, CA 90059(626) 644-0084(626) 644-0084 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY HENDERSON (NPI 1073480067) is an individual day training/habilitation specialist in Los Angeles, California and active in the NPI registry since October 2025. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1073480067
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameHOLLY HENDERSON
Location Address12021 WILMINGTON AVE BLDG 18Los Angeles, CA 90059-3019
Mailing Address510 S Vermont AveLos Angeles, CA 90020-1912 · (424) 444-9050
Phone(626) 644-0084
Fax(626) 644-0084
Sole ProprietorYes
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1073480067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
12021 WILMINGTON AVE BLDG 18, Los Angeles, CA 90059
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Secondary Practice Location 1

Location 1510 S Vermont AveLos Angeles, CA 90020-1912 · Phone (424) 444-9050

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLANDA WHITE FUQUAY
Community Health Worker
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
DUKE MARKO DIAZ NAVERA
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (213) 952-5153
BRENDA ESPINOZA
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 444-9050
DAVID NEGRETE HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
JENNIFER PINEDA
Behavior Technician
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5530
NDIDIAMAKA AMADI LVN
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5470
EXODUS RECOVERY, INC.
Community/Behavioral Health
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (562) 295-4617
JEREMY T PICON CADC II
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (213) 965-6421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Henderson's NPI number?

The NPI number for Holly Henderson is 1073480067. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Holly Henderson located?

Holly Henderson practices at 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059. The listed phone number is (626) 644-0084.

What is Holly Henderson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Holly Henderson was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.