Individual
FARRAH BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 FAIRWAY DR, LAURENS, SC 29360-7701
(803) 565-9068
Mailing address
110 FAIRWAY DR, LAURENS, SC 29360-7701
(803) 565-9068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44132
SC
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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