Provider Demographics
NPI:1902796444
Name:BENJAMIN, ARANTXA
Entity type:Individual
Prefix:MISS
First Name:ARANTXA
Middle Name:
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ARANTXA
Other - Middle Name:TAIJA
Other - Last Name:BOBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:589 QUINCY ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1806
Mailing Address - Country:US
Mailing Address - Phone:347-483-2751
Mailing Address - Fax:
Practice Address - Street 1:1650 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4804
Practice Address - Country:US
Practice Address - Phone:718-255-5946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127403104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty