Active NPI
Dianna Benbow, B.A, RBT
- Behavior Analyst
- Everett, WA
National Provider Identifier
1164882510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CG60640982
- Practice address
- 5309 Glenwood Ave Apt a
Everett, WA 98203-3082 - Phone
- (757) 556-4332
- NPI assigned
- Feb 27, 2016
- Last updated
- Feb 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CG60640982 | WA | Primary |
Addresses
Primary practice location
5309 Glenwood Ave Apt a
Everett, WA 98203-3082
Mailing address
5309 Glenwood Ave Apt a
Everett, WA 98203-3082
Phone (757) 556-4332
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60640982 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456531200000",
"number": "1164882510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 GLENWOOD AVE APT A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982033082",
"telephone_number": "757-556-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 GLENWOOD AVE APT A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982033082",
"telephone_number": "757-556-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENBOW",
"first_name": "DIANNA",
"credential": "B.A, RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-27",
"last_updated": "2016-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CG60640982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.