Individual
BENJAMIN WYATT ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 US HIGHWAY 17 S UNIT 5, HOLLY RIDGE, NC 28445-8662
(910) 599-2230
Mailing address
PO BOX 1207, HAMPSTEAD, NC 28443-1207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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