Ernesto Alejandro Benitez-Labrada

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

B532-201-98-166-0 Issued in FL

Practice address

11750 Magnolia Falls Dr
Jacksonville, FL 32258-2585

Phone

(904) 408-7115

NPI assigned

Apr 22, 2024

Sex

Male

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": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1669227880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 MAGNOLIA FALLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582585",
            "telephone_number": "904-408-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 MAGNOLIA FALLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582585",
            "telephone_number": "904-408-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 Magnolia Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582585",
            "country_code": "US",
            "telephone_number": "904-408-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITEZ-LABRADA",
        "first_name": "ERNESTO",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "B532-201-98-166-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Benefield, M.D.
• Benevolent Heart LLC
• Antonette Yvonne Benford-Rhodes, LMHC
• Arbian Benga, PT
• Shayan Bengali, MD
• Ann Kathryn Benitez, FNP-C
• Clarissa Benitez
• Odalys Benitez
• Benjamin E Moore MD PA
• Clare Denise Benjamin, ARNP

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.