Individual provider · Type 1 NPI

Elizabeth Ratnamala Benjamin, NURSE PRACTIONER

Behavior Analyst · Coram, NY

NPI number 1629382114 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Call (631) 920-8500 Map

Fax (631) 920-8501

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XF401255 (NY)
Behavior Analyst Primary 103K00000XF401255 (NY)

Behavior 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…

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About NPI 1629382114

Elizabeth Ratnamala Benjamin, NURSE PRACTIONER's National Provider Identifier is 1629382114, issued on Jul 27, 2010. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Coram, NY. The record was last updated on Jul 28, 2010.