NPI 1770151821 · live from the CMS NPI Registry
Justin Richard Benton
Behavior Analyst in Lexington, KY. National Provider Identifier 1770151821, active.
NPI record
| NPI | 1770151821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 90 Southport Dr, Lexington, KY 40503 |
| Practice phone | 859-303-4463 |
| Enumerated | June 15, 2021 |
| Last updated | June 8, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 285702 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.