Individual provider Active NPI

Justina Marie Benzan, BCBA

  • Behavior Analyst
  • Denver, CO
National Provider Identifier
1659846038
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31736 Issued in CO
Practice address
1777 S Harrison St Ste 200
Denver, CO 80210-3957
Phone
(720) 706-3396
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-31736 CO Primary

Addresses

Primary practice location

1777 S Harrison St Ste 200
Denver, CO 80210-3957

Mailing address

2155 S Lincoln St
Denver, CO 80210-4408
Phone (973) 931-7868

Other practice location 1

12650 E Briarwood Ave Unit 207
Centennial, CO 80112-6792
Phone (720) 470-0578

Other practice location 2

3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (720) 706-3396

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soar Health, Inc. Behavior Analyst PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1659846038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 S LINCOLN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104408",
            "telephone_number": "973-931-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103957",
            "telephone_number": "720-706-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12650 E Briarwood Ave Unit 207",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801126792",
            "country_code": "US",
            "telephone_number": "720-470-0578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Quebec St Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072339",
            "country_code": "US",
            "telephone_number": "720-706-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZAN",
        "first_name": "JUSTINA",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-31736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.