Dizera Louise Benham

Behavior Technician · Colony, KS

Individual Active NPI

NPI number 1942194402

Practice location

13838 SW 500TH Rd
Colony, KS 66015-9233
Phone
(620) 215-9883

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NPI record

NPI
1942194402
Entity type
Individual (Type 1)
Enumeration date
June 6, 2025
Last updated
June 13, 2025
Certified
June 13, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1649 61st St
St. 301, 3rd Fl
Brooklyn, NY 11204-3319

About Dizera Benham

Dizera Louise Benham is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 13838 SW 500TH Rd, Colony, KS 66015-9233. The NPI number 1942194402 was assigned on June 6, 2025 and the record was last updated on June 13, 2025.

Frequently asked questions

What is the NPI number of Dizera Louise Benham?

The NPI number is 1942194402.

What is the phone number of Dizera Benham?

The phone number listed for the practice location is (620) 215-9883.

Where is Dizera Benham located?

13838 SW 500TH Rd, Colony, KS 66015-9233.

What is the taxonomy code for Dizera Benham?

The primary taxonomy code is 106S00000X – Behavior Technician.

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.