Individual
BENEVA MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MARSH HARBOUR PKWY STE 104, KINGSLAND, GA 31548-6755
(855) 444-5664
Mailing address
PO BOX 46552, TAMPA, FL 33646-0105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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