Individual
BENJAMIN JOHN CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1239 LONGPORT WAY, CORONA, CA 92881-0982
(317) 270-8301
Mailing address
1239 LONGPORT WAY, CORONA, CA 92881-0982
(317) 270-8301
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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