Individual
BENJAMIN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29174 SW TOWN CENTER LOOP W STE 101, WILSONVILLE, OR 97070-9309
(971) 252-6155
Mailing address
7060 SW MOLALLA BEND RD, WILSONVILLE, OR 97070-8450
(805) 804-0689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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