Individual
MR. JOHN DAVID BENFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3231 WILLAMETTE DR NE STE A, LACEY, WA 98516-1378
(360) 878-6434
Mailing address
921 SAWYER ST SE, OLYMPIA, WA 98501-1938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.70077734
WA
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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