Individual
TYNAISA BENTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 MAIN ST, WEST EASTON, PA 18042-6148
(267) 227-8625
Mailing address
89 MAIN ST, WEST EASTON, PA 18042-6148
(267) 227-8625
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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