Gina Benetich, is a
Behavior Analyst based in Phoenix, Arizona. Gina Benetich is licensed to practice in Arizona (license number BEH-000235) and her current practice location is
20402 N 15th Ave, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(623) 445-5000.
NPI number for Gina Benetich is 1417603010 and her current mailing address is 20402 N 15th Ave, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417603010.
Healthcare Provider's Profile
| Full Name | Gina Benetich |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 20402 N 15th Ave, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417603010
- Provider Enumeration Date: 02/23/2022
- Last Update Date: 03/11/2026
Medical Identifiers
Medical identifiers for Gina Benetich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417603010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | LCSW-21949 (Arizona) | Secondary |
| 103K00000X | Behavior Analyst | BEH-000235 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gina Benetich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gina Benetich, 20402 N 15th Ave, Phoenix, AZ 85027-3636 Ph: (623) 445-5000 | Gina Benetich, 20402 N 15th Ave, Phoenix, AZ 85027-3699 Ph: (623) 445-5000 |
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