Individual
KELLY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BCBA, LBA
Contact information
Practice address
3602 E GREENWAY RD STE 102, PHOENIX, AZ 85032-4648
(602) 560-2832
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001932
AZ
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-123419
—
IL
Enumeration date
06/04/2019
Last updated
02/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us