Individual
MR. BENJAMIN HUBBARD COLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 720-3383
(304) 720-3781
Mailing address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 720-3383
(304) 720-3781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35726
WV
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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