NPI 1750636478 · live from the CMS NPI Registry
Ceatta L Benjamin, BA
Behavior Analyst in Tulsa, OK. National Provider Identifier 1750636478, active.
NPI record
| NPI | 1750636478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4104 S 40th West Ave, Tulsa, OK 74107 |
| Practice phone | 918-813-1069 |
| Enumerated | July 18, 2012 |
| Last updated | July 18, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.