Benjamin Logan Bishop

NPI #1316717903 in Beaufort, South Carolina

Provider Information

NPI Number: 1316717903
Entity Type: Individual
Name: Benjamin Logan Bishop
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 4, 2024
Last Updated: Jan 4, 2024

Practice Location

Address: BEAUFORT MIDDLE SCHOOL
Address 2: 2501 MOSSY OAKS ROAD
City: Beaufort
State: South Carolina
ZIP Code: 29902
Phone: (843) 322-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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