ELIZABETH BENNETT (NPI# 1043792997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043792997 |
| Entity Type | Individual |
| Full Name | ELIZABETH BENNETT |
| Practice Address |
309 59th St Nw Albuquerque NM 87105 |
| Mailing Address |
10 Southwood Dr Edgewood NM 87015-7100 |
| Practice Telephone | 4059050881 |
| Mailing Telephone | 4059050881 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6013 S Redwood Rd, Taylorsville, UT 841235220 | 8012555131 | 8016580604 |
| 10 Southwood Dr, Edgewood, NM 870157100 | 4059050881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359670 | Elizabeth Bennett | Counselor | 3384 Field Planters Rd, Johns Island, SC 29455-8235 | 2018-06-12 |
| 1932636594 | Elizabeth Ann Bennett | Counselor | 1106 Ohio River Blvd Ste 602, Sewickley, PA 15143-2048 | 2017-05-15 |
| 1538456447 | Elizabeth Bennett | Registered Nurse | 15720 Manor Way, C3, Lynnwood, WA 98087-6240 | 2011-06-30 |
| 1225295330 | Elizabeth Mullen Bennett | Family Medicine | 415 Everwood Ct Nw, Issaquah, WA 98027-2602 | 2008-05-19 |
| 1649446493 | Elizabeth Bennett | Physician Assistant | 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 | 2008-05-01 |
| 1316126907 | Elizabeth J Bennett | Counselor | 2210 Menard St, 1r, Saint Louis, MO 63104-4178 | 2007-10-30 |
| 1821155987 | Elizabeth L. Bennett | Psychologist | 78 Middle St, Fairhaven, MA 02719-3050 | 2007-01-01 |
| 1710959234 | Elizabeth Ann Bennett | Family Medicine | 9159 Bloom Ct, Burke, VA 22015-1643 | 2006-02-07 |
| 1467453308 | Elizabeth H. Bennett | Nurse Practitioner | 10910 Little Patuxent Parkway, Suite 100, Columbia, MD 21044 | 2005-08-02 |
| 1578171591 | Elizabeth Frances Bennett | Speech-Language Pathologist | 111 W Anderson Ln Ste C100, Austin, TX 78752-1119 | 2020-07-15 |
| Street Address |
309 59TH ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| 1053720136 | Michelle Zamora | Pharmacist | 3500 Coors Blvd, Albuquerque, NM 87105 | 2014-08-04 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1316546286 | Julia Oliver | Behavior Technician | 7717 William Moyers Ave Ne, Albuquerque, NM 87122-2782 | 2020-10-22 |
| 1932708898 | Ann Marie Jean Doolittle Straight | Behavior Technician | 5013 Edwards Dr Ne, Albuquerque, NM 87111-6908 | 2020-10-21 |
| 1114526175 | Alicia Pearl Armijo I | Behavior Technician | 1509 Tierra Verde Pl Sw, Albuquerque, NM 87105-1510 | 2020-10-21 |
| 1285233684 | Michaela Sedillo | Behavior Technician | 1908 Utah St Ne, Albuquerque, NM 87110-4844 | 2020-10-19 |
| 1912506130 | Selena Luisa Wolfel | Behavior Technician | 231 Smith Ave Se, Albuquerque, NM 87102-4754 | 2020-10-19 |
| 1609474105 | Barbara D Mares | Behavior Technician | 5615 Bohemia Ct Sw, Albuquerque, NM 87105-3307 | 2020-10-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on ELIZABETH BENNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.