NPI 1942959689 · live from the CMS NPI Registry
Gracie Abigail Benton, BCBA
Behavior Analyst in Clive, IA. National Provider Identifier 1942959689, active.
NPI record
| NPI | 1942959689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 13300 Hickman Rd Ste 110, Clive, IA 50325 |
| Practice phone | 515-987-8835 |
| Mailing address | 501 Park Ave, Des Moines, IA 50315 |
| Enumerated | March 21, 2022 |
| Last updated | April 18, 2024 |
| Sole proprietor | No |
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.