NPI 1639767510 · live from the CMS NPI Registry
Carmen L Benedict, MS, BCBA
Behavior Analyst in Newport Center, VT. National Provider Identifier 1639767510, active.
NPI record
| NPI | 1639767510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2542 Vt Route, Newport Center, VT 05857 |
| Practice phone | 802-487-9421 |
| Mailing address | 124 E Ponderosa Cir, Brandon, SD 57005 |
| Enumerated | January 6, 2021 |
| Last updated | January 6, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 146.0134188 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.