Individual
BENJAMIN DAVID HABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(612) 331-9413
Mailing address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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