Individual
MRS. ANGELA G BENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA; LBA
Contact information
Practice address
233 HIBERNIA RD, PERU, NY 12972-3666
(518) 569-5120
Mailing address
233 HIBERNIA RD, PERU, NY 12972-3666
(518) 569-5120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003237-01
NY
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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