Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANNER JACOB BENEDICT MA, BCBA, LBA
NPI 1033789813
Behavior Analyst in Sun City West, AZ

Q: What is Tanner Benedict's NPI number?

The NPI number for Tanner Benedict is 1033789813. It was assigned to this individual provider in the NPPES registry on June 25, 2021. The provider is also known as Tanner Benedict Rbt.

Q: What is Tanner Benedict's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Benedict was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2021

14510 W SHUMWAY DR STE 200, SUN CITY WEST, AZ 85375(623) 401-1232(317) 520-8200 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Jun 25, 2021 (2 updates tracked since 2021).

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About Tanner Jacob Benedict Ma, Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER JACOB BENEDICT MA, BCBA, LBA (NPI 1033789813) is an individual behavior analyst provider in Sun City West, Arizona, licensed in Arizona (BEH-001923) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1033789813

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameTANNER JACOB BENEDICTCredential: MA, BCBA, LBA

Location Address14510 W SHUMWAY DR STE 200Sun City West, AZ 85375-5817

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(623) 401-1232

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateJune 25, 2021

Last NPPES UpdateJune 12, 20262 updates tracked since enumeration

NPPES CertifiedJune 12, 2026

✔ NPI 1033789813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in AZ · BEH-001923

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

14510 W SHUMWAY DR STE 200, Sun City West, AZ 85375

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Other Names 1

Other Name (5)Tanner Benedict Rbt

Other Identifiers 1

Other1-25-85793Bcba-certificate

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILYANA J MOODY RBT

Behavior Technician