Active NPI
Joshua Raymond Benitez
- Behavior Technician
- Covina, CA
National Provider Identifier
1225976707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y9054104
- Practice address
- 1274 Center Court Drive Suite 211 Covina Ca 91724.
Covina, CA 91724 - Phone
- (626) 339-4999
- Fax
- (626) 339-4999
- NPI assigned
- Mar 24, 2026
- Sex
- Male
- 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 Technician | 106S00000X | Y9054104 | CA | Primary |
Addresses
Primary practice location
1274 Center Court Drive Suite 211 Covina Ca 91724.
Covina, CA 91724
Mailing address
1274 Center Court Drive Suite 211 Covina Ca 91724.
Covina, CA 91724
Phone (626) 339-4999
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
| License | State | Type | Specialty |
|---|---|---|---|
| Y9054104 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1225976707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 CENTER COURT DRIVE SUITE 211 COVINA CA 91724.",
"city": "COVINA",
"state": "CA",
"postal_code": "91724",
"telephone_number": "626-339-4999",
"fax_number": "626-339-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1274 CENTER COURT DRIVE SUITE 211 COVINA CA 91724.",
"city": "COVINA",
"state": "CA",
"postal_code": "91724",
"telephone_number": "626-339-4999",
"fax_number": "626-339-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "JOSHUA",
"middle_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y9054104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.