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

Elijah Michael Bennett

Individual provider Behavior Technician · NPI 1114796059

Elijah Michael Bennett is a Behavior Technician in Laveen, Arizona. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4623 W Magdalena Ln
Laveen, AZ 85339-2355
Phone: (425) 273-3789
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114796059
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address4623 W Magdalena Ln, Laveen, AZ 85339-2355

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