Individual
ANDREW BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1918 MECHANICSBURG RD, SPRINGFIELD, OH 45503-3147
(937) 399-6101
Mailing address
615 N HYATT ST APT 2, TIPP CITY, OH 45371-1554
(937) 751-6229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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