Individual
BENJAMIN WANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, MSED
Contact information
Practice address
929 109TH AVE NE, BELLEVUE, WA 98004-4404
(425) 326-1545
Mailing address
3010 118TH AVE SE, BELLEVUE, WA 98005-4137
(203) 417-8314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43340
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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