Individual
BENJAMIN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3771 S A ST, RICHMOND, IN 47374-6053
(765) 598-4192
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-57490
IN
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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