Healthcare Provider Details

I. General information

NPI: 1861312530
Provider Name (Legal Business Name): BRIANNAH ERIN BENINATI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3618 RIVER WATCH LN
FRANKLINTON NC
27525-7051
US

IV. Provider business mailing address

2644 POE CURRIN RD
CREEDMOOR NC
27522-8792
US

V. Phone/Fax

Practice location:
  • Phone: 919-213-0465
  • Fax:
Mailing address:
  • Phone: 919-576-6053
  • Fax:

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: