Individual
BENJAMIN LANE RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
204 TURNBERRY ST, PORT WENTWORTH, GA 31407-1925
(912) 247-7749
(912) 247-7749
Mailing address
204 TURNBERRY ST, PORT WENTWORTH, GA 31407-1925
(912) 247-7749
(912) 247-7749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-1870-74439
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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