Individual
AYANNA J BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 BROADWAY ST # 170, PEARLAND, TX 77584-8171
(346) 719-3692
Mailing address
7500 BISSONNET ST APT 4304, HOUSTON, TX 77074-5633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-149084
TX
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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