Individual
BENJAMIN CREER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
264 N 200 W UNIT M, SALT LAKE CITY, UT 84103-4586
(801) 888-0912
Mailing address
264 N 200 W UNIT M, SALT LAKE CITY, UT 84103-4586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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