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NPI Code Detail

MEDICARE: TASHA BENSON

MEDICARE: TASHA BENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1639909666
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA BENSON
Provider Business Mailing Address
First Line : 5325 WALL ST STE 1000
Second Line :
City : MADISON
State : WI
Zip : 53718-7983
Country : US
Telephone Number : 608-467-4834
Fax Number :
Provider Business Practice Location Address
First Line : 5325 WALL ST STE 1000
Second Line :
City : MADISON
State : WI
Zip : 53718-7983
Country : US
Telephone Number : 608-467-4834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2024
Last Update Date : 08/05/2024

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Directions to “ TASHA BENSON ” Practice Location

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