Benetta Greene Nealy, is a
Behavior Technician based in Gardena, California. Benetta Greene Nealy is licensed to practice in NU (license number ) and her current practice location is
1149 W 190th St Ste 2200, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 856-0800.
NPI number for Benetta Greene Nealy is 1831894153 and her current mailing address is 1149 W 190th St Ste 2200, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831894153.
Healthcare Provider's Profile
| Full Name | Benetta Greene Nealy |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
|---|
| Location | 1149 W 190th St Ste 2200, Gardena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831894153
- Provider Enumeration Date: 04/04/2023
- Last Update Date: 05/06/2026
Medical Identifiers
Medical identifiers for Benetta Greene Nealy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831894153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 106S00000X | Behavior Technician | (NU) | 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. Benetta Greene Nealy 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 |
|---|
Benetta Greene Nealy,
1149 W 190th St Ste 2200,
Gardena, CA 90248-4344
Ph: (310) 856-0800 | Benetta Greene Nealy,
1149 W 190th St Ste 2200,
Gardena, CA 90248-4344
Ph: (310) 856-0800 |
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