NPI 1194204909 · live from the CMS NPI Registry
Myia Faith Benjamin
Behavior Analyst in Baton Rouge, LA. National Provider Identifier 1194204909, active.
NPI record
| NPI | 1194204909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 758 Royal St, Baton Rouge, LA 70802 |
| Practice phone | 000-000-0000 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | August 13, 2018 |
| Last updated | August 13, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 011088724 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.