Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benji Smith

Individual provider Behavior Technician · NPI 1790377125

Benji Smith is a Behavior Technician in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

75 Kitty Ln
Carbondale, IL 62901-0013
Phone: (618) 201-3217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1790377125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address75 Kitty Ln, Carbondale, IL 62901-0013

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