Individual
BENJAMIN OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
369 PARK AVE APT F9, ORANGE, NJ 07050-2852
(862) 216-5308
Mailing address
369 PARK AVE APT F9, ORANGE, NJ 07050-2852
(862) 216-5308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TF0000X
Family Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843271481
—
NJ
Enumeration date
11/07/2019
Last updated
11/07/2019
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