Sandie Marie Benton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

655 N Indiana Ave
Englewood, FL 34223-2756

Phone

(941) 999-4917

Fax

(941) 999-4908

NPI assigned

Mar 9, 2020

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

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1184259335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 NATRONA DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342864223",
            "telephone_number": "732-682-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232756",
            "telephone_number": "941-999-4917",
            "fax_number": "941-999-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "SANDIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua A Beasley, PA-C
• Beena Koppuzha MD PA
• Sara Beksi
• Ashley Bellant, APRN
• Bent Not Broken Counseling Services
• Lynn R Bernstein, PH.D
• Tracy Elizabeth Biagioli, PA
• Susan A Binoy, M.D., P.A.
• Tammy L Birbeck, DO
• Fran Bird

• Behavior Technician in Englewood, FL
• Providers in Englewood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.