Active NPI
Benjamin Brody
- Behavior Technician
- Phoenix, AZ
National Provider Identifier
1326556770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-48052
- Practice address
- 6232 N 7TH St
Phoenix, AZ 85014-1839 - Phone
- (623) 693-2954
- Fax
- (623) 399-1337
- NPI assigned
- Jan 19, 2018
- 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 | RBT-18-48052 | Primary |
Addresses
Primary practice location
6232 N 7TH St
Phoenix, AZ 85014-1839
Mailing address
4340 E Nisbet Rd
Phoenix, AZ 85032-8105
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1326556770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 E NISBET RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850328105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6232 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850141839",
"telephone_number": "623-693-2954",
"fax_number": "623-399-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-18-48052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.