Aga Bienkowski

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1455 W 2200 S
West Valley City, UT 84119-7214

Phone

(801) 673-5727

NPI assigned

Aug 1, 2025

Reactivated

Oct 30, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Group Home, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  NPD
• Phoenix Group Home, LLC

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1124902317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W 2200 S STE 100",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W 2200 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197214",
            "telephone_number": "801-673-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENKOWSKI",
        "first_name": "AGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-10-30",
        "certification_date": "2025-08-01",
        "deactivation_date": "2025-08-20",
        "reactivation_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Welch Bentley
• Josef A Benzon, D.M.D.
• Wayne Berg, FNP
• Heather Missy Berkel, APRN
• Lanette Rose Best, CMHC
• Big Kahuna Dental, LLC Dba Aloha Dental
• Christie Ann Bigham, CPM LDEM
• Chloe Juliet Bikman
• Gabrielle D Bissell, AUD
• Annalisa Blackham

• Behavior Technician in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.