Individual
BENJAMIN CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 N CENTRAL EXPY STE 160, DALLAS, TX 75231-6033
(214) 851-1031
Mailing address
10602 STONE CANYON RD APT 117, DALLAS, TX 75230-4422
(214) 851-1031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-362592
TX
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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