Provider Demographics
NPI:1649942442
Name:BENSCOTER, STARR DANIELLE
Entity type:Individual
Prefix:MRS
First Name:STARR
Middle Name:DANIELLE
Last Name:BENSCOTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-1044 KANEHOA LOOP APT 87
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1350
Mailing Address - Country:US
Mailing Address - Phone:808-321-1191
Mailing Address - Fax:
Practice Address - Street 1:99-1410 HALAWA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3115
Practice Address - Country:US
Practice Address - Phone:808-400-2968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician