Individual
MR. BENJAMIN ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
15505 CIVIC DR, VICTORVILLE, CA 92392-2357
(760) 245-4262
Mailing address
15505 CIVIC DR, VICTORVILLE, CA 92392-2357
(760) 245-4262
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
01/09/2026
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