Individual
DANI BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 FOOTHILL BLVD STE 205, ROCK SPRINGS, WY 82901-4758
(307) 212-3284
Mailing address
P.O. BOX 20310, UNIT #55984, CHEYENNE, WY 82003-7007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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