Individual
JAQUINCIA DOMINIQUE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10510 JOOR RD STE 300A, BATON ROUGE, LA 70818-3925
(225) 960-2403
Mailing address
14174 LEAYN CT, DENHAM SPRINGS, LA 70726-8836
(225) 441-0162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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