Vanessa Benjamin, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-57837 Issued in CA

Practice address

16726 Sunburst St
Northridge, CA 91343-4033

Phone

(818) 336-8258

NPI assigned

Nov 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior and Development Center, LLC

  • Community/Behavioral Health Agency
  • Marina del Rey, CA
  • NPI 1417465030
  NPD (past)

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1811465669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16726 SUNBURST ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434033",
            "telephone_number": "818-336-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16726 SUNBURST ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434033",
            "telephone_number": "818-336-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "VANESSA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "18-69082",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-57837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Beltran
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• Jennyfer Vanesa Benavides
• Sherry Anne Bengson, FNP-BC
• Andrea Benitez
• Mike Benton
• Benyaminy and Kashani Dental Corp
• Keren Malka Berger, M.S., CCC-SLP
• Beatriz Bermudez
• Giovana Bernal, PPS

• Behavior Analyst in Northridge, CA
• Providers in Northridge, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.