Individual
BENJAMIN JOSEPH COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
858 MASENGILL RD, BLOUNTVILLE, TN 37617-4119
(941) 875-3860
Mailing address
858 MASENGILL RD, BLOUNTVILLE, TN 37617-4119
(941) 875-3860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-257354
TN
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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