Samanta M Benjamin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6064 Locklear Way
Douglasville, GA 30134-1304

Phone

(352) 530-7410

NPI assigned

Jul 31, 2018

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1659859841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6064 LOCKLEAR WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341304",
            "telephone_number": "352-530-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6064 LOCKLEAR WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341304",
            "telephone_number": "352-530-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Eustis St Apt 7",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327264176",
            "country_code": "US",
            "telephone_number": "352-530-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "SAMANTA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Bell
• Taijah Bell, LCSW
• Bellam Enterprises Inc. (Better off at Home)
• Olufunmilola Ruth Bello, MS
• Ryan Wayne Belmore, PT
• Keelia Elise Benner, PA
• Adriana Bennett, RBT
• Adia Benson
• Kristopher Glen Bernarde
• Dwainie Berry, RBT

• Behavior Technician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.