Healthcare Provider Details

I. General information

NPI: 1720995517
Provider Name (Legal Business Name): ARIANNA BENAVIDES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 FILLMORE ST UNIT 150
DENVER CO
80206-5001
US

IV. Provider business mailing address

300 W 123RD AVE APT 2013
WESTMINSTER CO
80234-1804
US

V. Phone/Fax

Practice location:
  • Phone: 216-270-7200
  • Fax:
Mailing address:
  • Phone: 210-965-8127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-373014
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: