NPIMap

Organization Active NPI

Benevolent Behavior Therapy LLC

  • Behavior Analyst
  • Oxford, MI
National Provider Identifier
1619656394
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BENEVOLENT BEHAVIOR THERAPY LLC
Practice address
190 S Coats Rd
Oxford, MI 48371-4207
Phone
(815) 557-6279
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Delfina KluskaNPI 1922584739
Title
Owner
Phone
(947) 300-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

190 S Coats Rd
Oxford, MI 48371-4207

Mailing address

190 S Coats Rd
Oxford, MI 48371-4207
Phone (815) 557-6279

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1619656394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S COATS RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714207",
            "telephone_number": "815-557-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S COATS RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714207",
            "telephone_number": "815-557-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "KLUSKA",
        "authorized_official_first_name": "DELFINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "947-300-6700"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.