Leeann Rose Bennett
Individual provider Active NPI Behavior Technician · Port Monmouth, NJ
NPI 1972124709 · NPPES record last updated May 4, 2020
Key facts
- NPI
- 1972124709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1 Haven St
Port Monmouth, NJ 07758-1407 - Phone
- (732) 939-1589
- NPI assigned
- May 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
1 Haven St
Port Monmouth, NJ 07758-1407
Mailing address
1 Haven St
Port Monmouth, NJ 07758-1407
Phone (732) 939-1589
Other providers in Port Monmouth, NJ
- A Mindful Paws for Youth LLC
- Maureen Anderson
- Christine Andreotti Bennett
- George Richard Bulger
- Center for Family Support, New Jersey, Inc.
- Community Options, Inc.
- Daniel Deshong
- Craig Domanski
All providers in Port Monmouth, NJ · Behavior Technician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.