Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN ETHAN BENJAMIN, BA
ActiveJORDAN ETHAN BENJAMIN, BA is a Behavior Technician healthcare provider located in KENTWOOD, Michigan. NPI 1144881129 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · KENTWOOD, MI
Registration Details
- NPI Number
- 1144881129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2019 (7.110526787587 yrs)
- Last Updated
- Jun 21, 2019
Practice Information
- Address
-
3361 36TH ST SEKENTWOOD, MI, 495122809Browse MI providers · Browse ZIP 49512
- Phone
- 6169422522
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in KENTWOOD, MI
| Name | Credential | NPI |
|---|---|---|
| TAYLOR SMITH | — | 1811345630 |
| MR. JOSHUA FEISTER | — | 1306294079 |
| KELSEY MATTHEWS | — | 1376992750 |
| LATOYA SHERESE BROWN | — | 1003363789 |
| VAHE GRIGORYAN | — | 1134676976 |
| MS. ANDREA FISHER | — | 1417495409 |
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.