IndividualActive
Benjamin Nelson, M.A., BHT
NPI 1134484876 · Child Mental Illness Respite Care · Phoenix, AZ
Provider details
- NPI number
- 1134484876
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Credential
- M.A., BHT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3856919 (AZ)
Mailing address
4372 E Sack Dr
Phoenix, AZ 85050-3395
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.