Individual
BENNETT GERARD HORSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5080 SHOREHAM PL STE 103, SAN DIEGO, CA 92122-5931
(858) 272-2662
(858) 272-2661
Mailing address
5080 SHOREHAM PL STE 103, SAN DIEGO, CA 92122-5931
(858) 272-2662
(858) 272-2661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21905
CA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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