Individual
TATYANNA BENOIT
Active
Individual
TATYANNA BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
PA
251B00000X
Case Management Agency
—
PA
251S00000X
Community/Behavioral Health Agency
Primary
—
PA
261QC1500X
Community Health Clinic/Center
—
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
PA
261QM0850X
Adult Mental Health Clinic/Center
—
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
PA
261QP2300X
Primary Care Clinic/Center
—
PA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
PA
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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