Individual
DIANNA BENBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A, RBT
Contact information
Practice address
5309 GLENWOOD AVE APT A, EVERETT, WA 98203-3082
(757) 556-4332
Mailing address
5309 GLENWOOD AVE APT A, EVERETT, WA 98203-3082
(757) 556-4332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60640982
WA
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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