Individual
BENJAMIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 MEDARY AVE, PHILADELPHIA, PA 19126-3836
(215) 992-4240
Mailing address
601 MEDARY AVE, PHILADELPHIA, PA 19126-3836
(215) 992-4240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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