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

Deandre Kian Bennett

Individual provider Behavior Technician · NPI 1487535118

Deandre Kian Bennett is a Behavior Technician in Elk Grove, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

5112 Tana Ct
Elk Grove, CA 95758-6722
Phone: (916) 228-0764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1487535118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address5112 Tana Ct, Elk Grove, CA 95758-6722

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