Individual
BENJAMIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 BENNETT AVE, RAVENNA, OH 44266-3211
(330) 839-9966
Mailing address
324 EASTLAND AVE, AKRON, OH 44305-2617
(330) 338-4491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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