Individual
MR. BENJAMIN SAMUEL BARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
43490 YUKON DR STE 104, ASHBURN, VA 20147-7302
(703) 936-2122
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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