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Individual

BENJAMIN ALEXANDER OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141
(678) 691-2206
Mailing address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA000019
GA
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/15/2019
Last updated
02/13/2026
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