HOLLI HENNINGSEN JERDES
NPI 1114299203
Behavior Analyst in Olympia, WA

Active since February 03, 2012
905 CARLYON AVE SE, OLYMPIA, WA 98501(360) 688-4321 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holli Henningsen Jerdes NPPES

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

HOLLI HENNINGSEN JERDES (NPI 1114299203) is an individual behavior analyst provider in Olympia, Washington, licensed in Washington (BA60760954) and active in the NPI registry since February 2012. She maintains a secondary practice location in Walnut Creek.

NPPES Registry Identity

NPI1114299203
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameHOLLI HENNINGSEN JERDES
Location Address905 CARLYON AVE SEOlympia, WA 98501-3503
Mailing Address905 Carlyon Ave Se Ste AOlympia, WA 98501-3503 · (360) 688-4231
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
NPI 1114299203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Licenses Licensed in WA · BA60760954 Licensed in CA · 1073813
Definition
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.
905 CARLYON AVE SE, Olympia, WA 98501

Secondary Practice Location 1

Location 1311 Lennon Ln, Suite AWalnut Creek, CA 94598-2418 · Phone (925) 210-9370 · Fax (925) 210-0436

Accepted Insurance

Other Providers at the Same Location NPPES

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

Behavior Analyst
905 CARLYON AVE SE
OLYMPIA, WA 98501

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 Holli Henningsen Jerdes's NPI number?

The NPI number for Holli Henningsen Jerdes is 1114299203. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Holli Henningsen Jerdes located?

Holli Henningsen Jerdes practices at 905 Carlyon Ave SE, Olympia, WA 98501. The listed phone number is (360) 688-4321.

What is Holli Henningsen Jerdes's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Holli Henningsen Jerdes accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Holli Henningsen Jerdes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holli Henningsen Jerdes was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.