Individual
AMY BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 DUPONT DR STE C, SEYMOUR, IN 47274-1764
(317) 334-7331
(317) 334-7336
Mailing address
322 DUPONT DR STE C, SEYMOUR, IN 47274-1764
(317) 334-7331
(317) 334-7336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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