Active NPI
Shamica Benjamin
- Behavior Analyst
- Ozone Park, NY
National Provider Identifier
1881477164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 10450 102ND St
Ozone Park, NY 11417-2237 - Phone
- (929) 354-1829
- NPI assigned
- Aug 18, 2023
- Last updated
- Aug 18, 2023
- 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 | NU | Primary |
Addresses
Primary practice location
10450 102ND St
Ozone Park, NY 11417-2237
Mailing address
19123 109TH Rd
Saint Albans, NY 11412-1605
Phone (929) 309-6206
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": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1881477164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19123 109TH RD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121605",
"telephone_number": "929-309-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 102ND ST",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114172237",
"telephone_number": "929-354-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "SHAMICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.