Individual
GRACIE ABIGAIL BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13300 HICKMAN RD STE 110, CLIVE, IA 50325-8616
(515) 987-8835
Mailing address
501 PARK AVE, DES MOINES, IA 50315-7636
(515) 822-3950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
04/18/2024
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