Individual
JON NATHAN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C.B.A
Contact information
Practice address
2813 BRITTANY LN, OPELIKA, AL 36804-6187
(334) 728-0596
Mailing address
2813 BRITTANY LN, OPELIKA, AL 36804-6187
(334) 728-0596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3459
AL
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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