Individual
BENJAMIN WILLIAM THORNBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 N. FIRST ST. SUITE 162,124,112, FRESNO, CA 93726
(559) 476-2166
Mailing address
3636 N. FIRST ST. SUITE 162,124,112, FRESNO, CA 93726
(559) 476-2166
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
06/05/2025
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