Individual
BENJAMIN THOMAS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 DILL RD, SEVERNA PARK, MD 21146-4106
(317) 695-3446
Mailing address
702 DILL RD, SEVERNA PARK, MD 21146-4106
(317) 695-3446
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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