Individual
BENJAMIN LOGAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BEAUFORT MIDDLE SCHOOL, 2501 MOSSY OAKS ROAD, BEAUFORT, SC 29902
(843) 322-5700
Mailing address
3002 SHELL POINT RD, BEAUFORT, SC 29906-6847
(843) 592-9364
(813) 645-2007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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