Tamyra Renee Bennett

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

29720717 Issued in PA

Practice address

450 Parkway Ste 204
Broomall, PA 19008-4202

Phone

(215) 789-0108

NPI assigned

Oct 8, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1619872926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PARKWAY STE 204",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARKWAY STE 204",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084202",
            "telephone_number": "215-789-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TAMYRA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "29720717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc J Belitsky, D.C.
• Ashley Bellamy, CRNP
• Gavin Bellwoar, RBT
• Heather Marie Bendig, LPC, CAADC
• Kimberly Lyn Bennett, CRNP
• Cameron Benziger, CRNA
• Brianna Bernardo, PSYD
• Twinkle S Bhalodia, CRNP
• Seth M. Blitzer, DMD
• Blossom Home Care LLC

• Behavior Technician in Broomall, PA
• Providers in Broomall, PA by specialty
• Behavior Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.