AMANDA BENTON (NPI# 1851844229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851844229 |
| Entity Type | Individual |
| Full Name | AMANDA BENTON |
| Practice Address |
2504 Camino Entrada Santa Fe NM 87507-4851 |
| Mailing Address |
4300 Sierra Blanca Santa Fe NM 87507-1631 |
| Practice Telephone | 5054715006 |
| Mailing Telephone | 4323499123 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2504 CAMINO ENTRADA |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669402103 | Christopher Clancy | Psychiatry & Neurology | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2006-07-03 |
| 1003420696 | Heidi Mae Gall | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-09-01 |
| 1538779897 | Sun Wiltse Vega | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507 | 2020-08-03 |
| 1740808518 | Bernadette D Mares | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-07-08 |
| 1982248662 | Teambuilders Behavioral Health, Inc. | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
| 1790329472 | Teambuilders Behavioral Health, LLC | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
| 1770126468 | Blake Ann Kish, Bms | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-24 |
| 1033752324 | Misper Etando | Nurse Practitioner | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-20 |
| 1851949739 | Briahna Easton | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-09-03 |
| 1689222093 | Lori Diane Shepard | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648144 | Pauline I Vigil | Behavioral Analyst | 4001 Office Court Dr Ste 705, Santa Fe, NM 87507-4958 | 2020-01-16 |
| 1750948139 | Althea P Fleming | Behavioral Analyst | 4001 Office Court Dr # 705-707, Santa Fe, NM 87507-4929 | 2019-05-21 |
| 1790349710 | Samantha R Montoya | Behavioral Analyst | 64 Cochiti W, Santa Fe, NM 87508-8099 | 2019-04-25 |
| 1689135378 | Loretta Michele O'donnell | Behavioral Analyst | 6332 Entrada De Milagro Apt 1212, Santa Fe, NM 87507-1654 | 2019-03-26 |
| 1497226831 | Samantha Rohl | Behavioral Analyst | 1459 Zepol Rd Apt 109, Santa Fe, NM 87507-7144 | 2018-12-11 |
| 1386113389 | Bradley Laurence Hart | Behavioral Analyst | 929 Acequia Madre, Santa Fe, NM 87505-2885 | 2018-11-19 |
| 1972088847 | Vincent Foustino Vigil | Behavioral Analyst | 3938 Buffalo Grass Rd Ste 6, Santa Fe, NM 87507-3519 | 2018-09-26 |
| 1639684236 | Kelly Marie Clifford | Behavioral Analyst | 2730b Calle Anna Jean, Santa Fe, NM 87505-5205 | 2017-12-05 |
| 1841701885 | Ron Jarus | Behavioral Analyst | 3523 Camino Jalisco, Santa Fe, NM 87507-0407 | 2017-10-17 |
| 1063932374 | Sarah Maxwell | Behavioral Analyst | 720 Rosita St, Santa Fe, NM 87505 | 2017-06-27 |
| Find all providers in SANTA FE | ||||
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| 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.