Randall Jay Benefield

Behavior Analyst · Petaluma, CA

Organization Active NPI

NPI number 1790492304

Practice location

921 Transport Way
Petaluma, CA 94954-1461
Phone
(707) 478-8697

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NPI record

NPI
1790492304
Entity type
Organization (Type 2)
Enumeration date
November 2, 2022
Last updated
November 2, 2022
Certified
November 2, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

3188 Rocklin Dr
Santa Rosa, CA 95405-7035
Phone
(707) 478-8697

Authorized official

Name
Randy Benefield
Title
Owner
Phone
(707) 478-8697

Other names

  • On Your Way Behavior Solutions

About Randall Jay Benefield

Randall Jay Benefield is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 921 Transport Way, Petaluma, CA 94954-1461. The NPI number 1790492304 was assigned on November 2, 2022 and the record was last updated on November 2, 2022.

The authorized official for this organization is Randy Benefield, Owner.

Frequently asked questions

What is the NPI number of Randall Jay Benefield?

The NPI number is 1790492304.

What is the phone number of Randall Jay Benefield?

The phone number listed for the practice location is (707) 478-8697.

Where is Randall Jay Benefield located?

921 Transport Way, Petaluma, CA 94954-1461.

What is the taxonomy code for Randall Jay Benefield?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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