Jennifer Bennett, M.S

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2510 Westchester Ave
Suite 102
Bronx, NY 10461-3512

Phone

(718) 597-5558

Fax

(718) 597-7277

NPI assigned

Jun 13, 2012

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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.

• Theracare

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1063775310
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1891057972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 SEDGWICK AVE APT 6D",
            "address_2": "6D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104682033",
            "telephone_number": "917-693-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613512",
            "telephone_number": "718-597-5558",
            "fax_number": "718-597-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenel Bennett, RN
• Diana I. Bennett
• Eddis B Bennett Jr.
• Jacqueline Bennett
• Jean E. Bennett
• Joan Bennett
• Jocelyn Bennett
• Jules Bennett, M.S., CCC-SLP
• Kimberley Simone Bennett, LPN
• Lisakay Anne Bennett

• Behavior Analyst in Bronx, NY
• Providers in Bronx, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.