Active NPI
Gloria Benitez
- Behavior Analyst
- Houston, TX
National Provider Identifier
1760222343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7005
- Practice address
- 14520 Memorial Dr Ste 50
Houston, TX 77079-5416 - Phone
- (832) 770-4971
- NPI assigned
- May 30, 2024
- Last updated
- May 30, 2024
- 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 Analyst | 103K00000X | 7005 | TX | Primary |
Addresses
Primary practice location
14520 Memorial Dr Ste 50
Houston, TX 77079-5416
Mailing address
14520 Memorial Dr Ste 50
Houston, TX 77079-5416
Phone (832) 770-4971
Other practice location 1
1803 Richmond Pkwy
Richmond, TX 77469-3626
Phone (346) 241-0137
Other practice location 2
7619 Tiki Dr
Fulshear, TX 77441-1675
Phone (346) 707-8422
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7005 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SNJ ABA LLC | Behavior Analyst | Past | Accepting new patients |
| Bubbly ABA LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Katy, TX
- NPI 1487325999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1760222343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14520 MEMORIAL DR STE 50",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795416",
"telephone_number": "832-770-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14520 MEMORIAL DR STE 50",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795416",
"telephone_number": "832-770-4971"
}
],
"practiceLocations": [
{
"address_1": "1803 Richmond Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774693626",
"country_code": "US",
"telephone_number": "346-241-0137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7619 Tiki Dr",
"address_purpose": "LOCATION",
"city": "Fulshear",
"state": "TX",
"postal_code": "774411675",
"country_code": "US",
"telephone_number": "346-707-8422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENITEZ",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "7005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.