Individual
CORA LYNN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 BRIARHILL RD, EUFAULA, AL 36027-4479
(334) 689-3864
Mailing address
47 BRIARHILL RD, EUFAULA, AL 36027-4479
(334) 689-3864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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