DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH BENNETT

Active Sole Proprietor

ELIZABETH BENNETT is a Behavior Analyst healthcare provider located in EDGEWOOD, New Mexico. NPI 1043792997 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · EDGEWOOD, NM

Registration Details

NPI Number
1043792997
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2018 (7.9669060141067 yrs)
Last Updated
Feb 23, 2022
License
1-20-44478
Sole Proprietor
Yes

Practice Information

Address
10 SOUTHWOOD DR
EDGEWOOD, NM, 870157100
Browse NM providers · Browse ZIP 87015
Phone
4059050881
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Technician

Other Behavior Analyst Providers in EDGEWOOD, NM

Name Credential NPI
MS. CHRISTINA MARIE HENTZ 1104165190
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.