Individual
JACOB BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(303) 514-4552
Mailing address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(303) 514-4552
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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