Individual
STEPHANIE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
355 S HIGH ST, WAILUKU, HI 96793-2199
(808) 727-5500
(808) 984-5627
Mailing address
1205 ANDUIN AVE, ANTIOCH, TN 37013-4495
(469) 487-4075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1528824026.
—
Other
Enumeration date
02/22/2024
Last updated
03/20/2024
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