Individual
BENJAMIN JACOB ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 KIRBY DR STE 110, PEARLAND, TX 77584-5624
(281) 407-5559
Mailing address
1799 KIRBY DR STE 110, PEARLAND, TX 77584-5624
(281) 407-5559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-203778
TX
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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