Provider Demographics
NPI:1295629384
Name:HENHAFFER, GENNA (BCBA)
Entity type:Individual
Prefix:MRS
First Name:GENNA
Middle Name:
Last Name:HENHAFFER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 EGG HARBOR RD STE 800
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-9409
Mailing Address - Country:US
Mailing Address - Phone:856-689-7616
Mailing Address - Fax:
Practice Address - Street 1:123 EGG HARBOR RD STE 800
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9409
Practice Address - Country:US
Practice Address - Phone:856-689-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst