Active NPI
Tiffanie Bennett
- Behavior Technician
- Monterey, CA
National Provider Identifier
1760093033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1900 Garden Rd Ste 280
Monterey, CA 93940-5374 - Phone
- (831) 220-0739
- NPI assigned
- Aug 11, 2020
- Last updated
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1900 Garden Rd Ste 280
Monterey, CA 93940-5374
Mailing address
5 Monte Vista Dr Apt 3
Monterey, CA 93940-6057
Phone (415) 724-4885
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1760093033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MONTE VISTA DR APT 3",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939406057",
"telephone_number": "415-724-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GARDEN RD STE 280",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405374",
"telephone_number": "831-220-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "TIFFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.