Provider Demographics
NPI:1609459718
Name:HENSHAW, JAMIE (BCAT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:HENSHAW
Suffix:
Gender:F
Credentials:BCAT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCAT
Mailing Address - Street 1:18 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:ONSET
Mailing Address - State:MA
Mailing Address - Zip Code:02558-3020
Mailing Address - Country:US
Mailing Address - Phone:508-295-5232
Mailing Address - Fax:508-295-5233
Practice Address - Street 1:18 UNION AVE
Practice Address - Street 2:
Practice Address - City:ONSET
Practice Address - State:MA
Practice Address - Zip Code:02558-3020
Practice Address - Country:US
Practice Address - Phone:508-295-5232
Practice Address - Fax:508-295-5233
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician