Individual
BENJAMIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11607 SOUTHFORK AVE BLDG B, BATON ROUGE, LA 70816-5220
(888) 880-9270
Mailing address
2240 N 39TH ST, BATON ROUGE, LA 70802-1521
(225) 280-0174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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