Benjamin Jacob Fagan

NPI #1013578319 in Lakeland, Florida

Provider Information

NPI Number: 1013578319
Entity Type: Individual
Name: Benjamin Jacob Fagan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 26, 2019
Last Updated: Oct 31, 2023

Practice Location

Address: 600 LAKE HOLLINGSWORTH DR
City: Lakeland
State: Florida
ZIP Code: 33803-2364
Phone: (844) 854-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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