Individual
BRYANA BENFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 124TH AVE NW STE 150, COON RAPIDS, MN 55433-4581
(763) 272-5877
(855) 568-2494
Mailing address
100 N PACIFIC COAST HWY STE 1400, EL SEGUNDO, CA 90245-5602
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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