Individual provider Active NPI

Benjamin Calderon

  • Behavior Technician
  • Farmington Hills, MI
National Provider Identifier
1902669203
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
Centria Healthcare LLC 27777 Inkster Rd
Ste 100
Farmington Hills, MI 48334-5310
Phone
(248) 436-4400
NPI assigned
Jan 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

Centria Healthcare LLC 27777 Inkster Rd
Ste 100
Farmington Hills, MI 48334-5310

Mailing address

Centria Healthcare LLC 27777 Inkster Rd
Ste 100
Farmington Hills, MI 48334-5310
Phone (248) 436-4400

Other practice location 1

1800 NW 169th Pl Ste B100
Beaverton, OR 97006-7362
Phone (866) 727-8274

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1902669203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRIA HEALTHCARE LLC 27777 INKSTER RD",
            "address_2": "STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRIA HEALTHCARE LLC 27777 INKSTER RD",
            "address_2": "STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 NW 169th Pl Ste B100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067362",
            "country_code": "US",
            "telephone_number": "866-727-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.