AUTUMN HENDERSON M. ED
NPI 1477230795
Developmental Therapist in Boise, ID

Active since June 28, 2023
11632 W SANTA BARBARA DR, BOISE, ID 83709(208) 340-5677 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Henderson M. Ed NPPES

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

AUTUMN HENDERSON M. ED (NPI 1477230795) is an individual developmental therapist in Boise, Idaho and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1477230795
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameAUTUMN HENDERSONCredential: M. ED
Location Address11632 W SANTA BARBARA DRBoise, ID 83709-6638
Mailing Address11632 W Santa Barbara DrBoise, ID 83709-6638 · (208) 340-5677
Sole ProprietorYes
Enumeration DateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1477230795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
11632 W SANTA BARBARA DR, Boise, ID 83709

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 Autumn Henderson's NPI number?

The NPI number for Autumn Henderson is 1477230795. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Autumn Henderson located?

Autumn Henderson practices at 11632 W Santa Barbara Dr, Boise, ID 83709. The listed phone number is (208) 340-5677.

What is Autumn Henderson's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Autumn Henderson was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.