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NPI Code Detail

MEDICARE: KIMBERLY BENITEZ

MEDICARE: KIMBERLY BENITEZ
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 : 1881575934
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY BENITEZ
Provider Business Mailing Address
First Line : 6222 W IH 10 STE 104
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-2013
Country : US
Telephone Number : 210-447-0039
Fax Number :
Provider Business Practice Location Address
First Line : 18401 TIMBER FOREST DR
Second Line :
City : ATASCOCITA
State : TX
Zip : 77346-2535
Country : US
Telephone Number : 210-447-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/08/2025

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Directions to “ KIMBERLY BENITEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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