Provider Demographics
NPI:1033603782
Name:BENINGO, FRANCHESCA JOY (BS)
Entity Type:Individual
Prefix:
First Name:FRANCHESCA
Middle Name:JOY
Last Name:BENINGO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 W SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1504
Mailing Address - Country:US
Mailing Address - Phone:989-619-3409
Mailing Address - Fax:
Practice Address - Street 1:301 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1808
Practice Address - Country:US
Practice Address - Phone:989-763-5363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-17
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician