Kennedy Taylor Bentti

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2940 N Church St Ste 303
Layton, UT 84040-6617

Phone

(801) 935-4172

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kennedy Taylor Gamangasso Former name

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1295331494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S 800 E APT 2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022957",
            "telephone_number": "832-493-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST STE 303",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406617",
            "telephone_number": "801-935-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTTI",
        "first_name": "KENNEDY",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNEDY",
            "last_name": "GAMANGASSO",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Shaw Benson, FNP-C
• Paul Benson, MD, DMD
• Bridger Barrett Bentley, PA
• Jennica Bentley
• Olivia Bentley
• Kirstin Berez
• Daniel Berg
• Kate Lynn Berg
• Nathaniel Berger
• Zachary Berger

• Behavior Technician in Layton, UT
• Providers in Layton, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.