Individual
BENJAMIN RICHARD ROLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 WALLIS ST UNIT 2, PEABODY, MA 01960-0078
(774) 312-4077
Mailing address
80 WALLIS ST UNIT 2, PEABODY, MA 01960-0078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10000961
MA
Other
Enumeration date
08/01/2021
Last updated
07/08/2024
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