Jessica Taylor Bennett, BEHAVIOR ASSISTANT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

147 Winham Ave
Staten Island, NY 10306-4930

Phone

(917) 573-1399

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1558054478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WINHAM AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064930",
            "telephone_number": "917-573-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WINHAM AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064930",
            "telephone_number": "917-573-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JESSICA",
        "middle_name": "TAYLOR",
        "name_prefix": "Miss",
        "credential": "BEHAVIOR ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida V Bennett, MD
• Bonnie L Bennett, L.C.S.W.
• Danielle Bennett
• Hope Valentine Bennett, OT
• Isaiah Bennett
• Maribel Bennett
• Meaghan Ashleigh Bennett
• Cynthia Logan Benson, D.O.
• Jill K Benson, LMSW
• Michael A. Benson, M.D.

• Behavior Technician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.