Healthcare Provider Details

I. General information

NPI: 1003733858
Provider Name (Legal Business Name): GIANNA BENI-PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 INDIAN CAMP RD
CLAYTON NC
27520-7009
US

IV. Provider business mailing address

1300 INDIAN CAMP RD
CLAYTON NC
27520-7009
US

V. Phone/Fax

Practice location:
  • Phone: 919-636-9966
  • Fax: 919-636-9966
Mailing address:
  • Phone: 919-636-9966
  • Fax: 919-636-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: