Individual provider Active NPI

Rachel Benson

  • Behavior Analyst
  • Fresno, CA
National Provider Identifier
1134637788
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6770 N West Ave
Fresno, CA 93711
Phone
(818) 241-6780
NPI assigned
Jan 17, 2018
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Behavior Technician 106S00000X RBT-16-23302 NJ

Addresses

Primary practice location

6770 N West Ave
Fresno, CA 93711

Mailing address

1055 E Colorado Blvd
Pasadena, CA 91106-2327

Other practice location 1

43 Elizabeth St
Pemberton, NJ 08068-1232
Phone (609) 969-1455

Other practice location 2

527 Wrightstown Sykesville Rd Unit 15
Wrightstown, NJ 08562-1530
Phone (609) 969-1455

Other practice location 3

6770 N West Ave
Fresno, CA 93711
Phone (818) 241-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-16-23302NJMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Kidz Rehabilitation Behavior Analyst PastSince Feb 1, 2012 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1134637788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "818-241-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Pemberton",
            "state": "NJ",
            "postal_code": "080681232",
            "country_code": "US",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Wrightstown Sykesville Rd Unit 15",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "NJ",
            "postal_code": "085621530",
            "country_code": "US",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6770 N West Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93711",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-16-23302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.