Individual
KARI BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1003 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 876-0455
Mailing address
519 OHARA ST, SCRANTON, PA 18505-3305
(304) 488-7605
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45900
PA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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