Greyson E Benton-Hart

Key facts

NPI

1942017785

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

RBT-24-399521 (VA)

Practice address

1525 Technology Dr
Chesapeake, VA 23320-5974

Phone

(757) 576-9311

NPI assigned

Dec 16, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Children First ABA Clinic Behavior Analyst · Chesapeake, VA · NPI 1588049993
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

Other names

• Gracie E Benton Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2024.

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1942017785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 TECHNOLOGY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205974",
            "telephone_number": "757-576-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 TECHNOLOGY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205974",
            "telephone_number": "757-576-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON-HART",
        "first_name": "GREYSON",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-24-399521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACIE",
            "last_name": "BENTON",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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