Individual
BENJAMIN D COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 S 700 E # 2, SALT LAKE CITY, UT 84102-2801
(240) 577-5484
Mailing address
157 W FREMONT AVE, SALT LAKE CITY, UT 84101-3105
(240) 577-5484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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