Individual
MR. BENJAMIN WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
20 COLWICK DR, SOMERS POINT, NJ 08244-1454
(303) 725-5649
(251) 257-2724
Mailing address
10436 VALLEY DR N, WILLIS, TX 77318-6435
(303) 725-5649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28831
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28831
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
07/16/2018
Last updated
08/30/2024
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