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Individual
BENJAMIN WEAR
Active
Individual
BENJAMIN WEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-73040
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-73040
BACB
UT
Enumeration date
02/05/2019
Last updated
02/05/2019
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