Benitez, Diego

Benitez, Diego is an individual health care provider with primary practice located at 10000 N 31St Ave Ste B109 , Phoenix AZ 85051-9586. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Benitez, Diego can be contacted via phone (480) 597-7321.

Contact Information

Primary practice address
10000 N 31St Ave Ste B109 Phoenix AZ 85051-9586
Phone: (480) 597-7321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1508504473
LBN Legal business name Benitez, Diego
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2022
Last updated May 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508504473 NPPES
Other 0000000 OTHER

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