Individual
AUTUMN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9240 BELTWAY 8 UNIT 110, HUMBLE, TX 77396
(855) 782-7822
Mailing address
9240 BELTWAY 8 UNIT 110, HUMBLE, TX 77396
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
TX
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
08/02/2022
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