Nakeisha Amoretta Bennett

Individual provider Active NPI Behavior Analyst · Richmond Hill, GA

NPI 1982109385 · NPPES record last updated Feb 12, 2026

Key facts

NPI
1982109385
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BH006509 (PA)
Practice address
10 Long Creek LN
Richmond Hill, GA 31324-8601
Phone
(904) 638-6388
Fax
(904) 485-8829
NPI assigned
Mar 27, 2018
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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BH006509PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nocal Behavioral Services LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH006509 PA Yes

Addresses

Primary practice location

10 Long Creek LN
Richmond Hill, GA 31324-8601

Mailing address

130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Phone (904) 638-6388

Other providers in Richmond Hill, GA

All providers in Richmond Hill, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.