Individual
BENJAMIN MICHAEL FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14950 W 64TH AVE STE C, ARVADA, CO 80007-8291
(720) 673-9152
Mailing address
8816 GORE ST, ARVADA, CO 80007-7312
(303) 817-4185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24-377040
CO
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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