DR. LESLY JANE HENDERSHOT PSY.D., BCBA-D
NPI 1669605010
Behavior Analyst in Southfield, MI

Q: What is Lesly Hendershot's NPI number?

The NPI number for Lesly Hendershot is 1669605010. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Q: What is Lesly Hendershot's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lesly Hendershot was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 02, 2009PECOS Enrolled

30503 GREENFIELD RD, SOUTHFIELD, MI 48076(248) 691-4744 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2020, Aug 27, 2019, Dec 17, 2018 (3 updates tracked since 2018).

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About Dr. Lesly Jane Hendershot Psy.d., Bcba-d NPPES

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

DR. LESLY JANE HENDERSHOT PSY.D., BCBA-D (NPI 1669605010) is an individual behavior analyst provider in Southfield, Michigan and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grosse Pointe.

NPPES Registry Identity

NPI1669605010

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameDR. LESLY JANE HENDERSHOTCredential: PSY.D., BCBA-D

Location Address30503 GREENFIELD RDSouthfield, MI 48076-1594

Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849 · (947) 522-1867 · Fax (947) 522-0307

Phone(248) 691-4744

Sole ProprietorNo

Enumeration DateSeptember 2, 2009

Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1669605010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 6301014875 (MI)

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 6301014875 (MI)

30503 GREENFIELD RD, Southfield, MI 48076

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Secondary Practice Location 1

Location 117150 Waterloo StGrosse Pointe, MI 48230-1201 · Phone (248) 691-4744

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lesly Jane Hendershot Psy.d., Bcba-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEPHANIE BERG WRIGHT MS

Psychologist (Counseling)