Individual
KIMBERLEA LYNN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 24TH AVE NW, NORMAN, OK 73069-6392
(405) 857-8280
Mailing address
401 12TH AVE SE APT 209, NORMAN, OK 73071-4931
(405) 215-3257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-315700
OK
Other
Enumeration date
10/30/2023
Last updated
05/01/2024
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