Philesha Bennett

Key facts

NPI

1083230635

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

1818 S Australian Ave
West Palm Beach, FL 33409-6452

Phone

(855) 832-6727

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2020.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1083230635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S AUSTRALIAN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096452",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S AUSTRALIAN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096452",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PHILESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

• Ashlyn Bennett
• Candace Bennett, LMHC
• Joan C. Bennett, ARNP
• Michelle L Bennett
• Nefertiti Bennett, DOULA/.J2
• Emmanuel Daniel Benony, PHYSICAL THERAPY DPT
• Amanda Benowitz
• Jaimy Haim Bensimon, MD
• Leah Bensimon, PHARMD
• Colleen Gail Benson, APN, C.

All providers in West Palm Beach, FL · Behavior Technician in Florida