Beverly Benito
Individual provider Active NPI Behavior Technician · Boston, MA
NPI 1003585654 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1003585654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 418 Centre St Unit C
Boston, MA 02130-5197 - Phone
- (800) 249-1266
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
418 Centre St Unit C
Boston, MA 02130-5197
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Other providers in Boston, MA
- Nicole Rochelle Benitah
- Fabiola A Benitez Rios
- Kamyla N. Benitez
- Viviana Benitez
- Begona Benito Villabriga
- Amit Beniwal
- Rhodalene Benjamin-Addy
- Carmen Benjamin
- Emelia J. Benjamin
- Heather Benjamin
All providers in Boston, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.