Individual
BENJAMIN KINGSLEY BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
333 H ST STE 6010, CHULA VISTA, CA 91910-5565
(619) 600-1395
(619) 344-0469
Mailing address
333 H ST STE 6010, CHULA VISTA, CA 91910-5565
(619) 600-1395
(619) 344-0469
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33092
CA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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