NICOLE BENITEZ (NPI# 1467971788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971788 |
| Entity Type | Individual |
| Full Name | NICOLE BENITEZ |
| Credential | RBT |
| Practice Address |
555 Auburn St Manchester NH 03103-4803 |
| Practice Telephone | 6036213407 |
| Practice Fax Number | 6036213516 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-34487 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BACB | RBT-17-34487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164785473 | Nicole Ann Benitez | Specialist | 1234 North Ave, Theracare Inc., New Rochelle, NY 10801 | 2012-06-21 |
| Street Address |
555 AUBURN ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801976477 | Brenda Gaffney Larkin | Occupational Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2006-10-17 |
| 1073131041 | Marguerite Victoria Bagshaw | Social Worker | 555 Auburn St, Manchester, NH 03103-4803 | 2020-07-07 |
| 1710450648 | Patricia Wood | Behavioral Analyst | 555 Auburn St, Manchester, NH 03103-4803 | 2019-01-03 |
| 1699283903 | Doreen Eunice Tatro Adams | Physical Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2018-01-21 |
| 1538688866 | Amanda Davis | Behavior Technician | 555 Auburn St, Manchester, NH 03103-4803 | 2017-09-19 |
| 1518416940 | Barbara Kyle | Behavioral Analyst | 555 Auburn St, Manchester, NH 03103-4803 | 2016-09-27 |
| 1477006112 | Lauren Page | Occupational Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2016-07-29 |
| 1659737104 | Kate-lynn Clancy | Behavioral Analyst | 555 Auburn St, Manchester, NH 03103-4803 | 2016-01-13 |
| 1306268248 | Marianne Rork | Physical Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2014-01-13 |
| 1295164994 | Barbara Ann Villani | Physical Therapist | 555 Auburn St, Manchester, NH 03103-4803 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| 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 |
|---|---|---|---|---|
| 1811523707 | Megan Mcdermott | Behavior Technician | 220 Youville St, Manchester, NH 03102-3034 | 2020-03-23 |
| 1972135085 | Heather Sneed | Behavior Technician | 373 S Willow St Ste 226, Manchester, NH 03103-5751 | 2020-02-06 |
| 1043852536 | Hannah Lee | Behavior Technician | 664 Mast Rd, Manchester, NH 03102-1429 | 2019-10-16 |
| 1851941124 | Morgan Katherine Anne Dresch | Behavior Technician | 300 River Bend St, Manchester, MI 48158-9532 | 2019-09-18 |
| 1225686538 | Shannon Lee Wagner | Behavior Technician | 203 Union St, Manchester, CT 06042-1938 | 2019-08-29 |
| 1497302855 | Ashley Marie Capraro | Behavior Technician | 769 Somerville St Apt 3, Manchester, NH 03103-4535 | 2019-08-21 |
| 1063065100 | Kelsey Sanders | Behavior Technician | 280 Bodwell Rd, Manchester, NH 03109-5000 | 2019-07-18 |
| 1194378240 | Kayla Sovie | Behavior Technician | 335 Belmont St, Manchester, NH 03103-4346 | 2019-07-18 |
| 1417500570 | Robert Tompkins | Behavior Technician | 1163 Island Pond Rd, Manchester, NH 03109-5407 | 2019-07-18 |
| 1982257127 | Shawna Packard | Behavior Technician | 1583 Belmont St, Manchester, NH 03104-2759 | 2019-07-17 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
Please comment or provide details below to improve the information on NICOLE BENITEZ.
| 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.