Individual provider · NPI-1
Amanda Benson, MSE, DT
Day Training/Habilitation Specialist · Little Rock, AR
NPI number1891352506
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1891352506
- Entity type
- Individual (NPI-1)
- Name
- Amanda Benson
- Credential
- MSE, DT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2019
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
5 Remington CvLittle Rock, AR 72204-8274
Phone 501-850-8788 · Fax 501-850-8791
Mailing address
5 Remington CvLittle Rock, AR 72204-8274
Phone 501-850-8788
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