Individual
BENJAMIN REIDBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 ADVENTURELAND DR STE B, ALTOONA, IA 50009-2237
(515) 967-4369
Mailing address
2919 SW SNYDER BLVD, ANKENY, IA 50023-8406
(515) 777-6656
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-300818
IA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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