Tanisha Alicia Benjamin, RBT

NPI #1427711357 in Dothan, Alabama

Provider Information

NPI Number: 1427711357
Entity Type: Individual
Name: Tanisha Alicia Benjamin, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Oct 18, 2021
Last Updated: Oct 18, 2021

Practice Location

Address: 2543 ROSS CLARK CIR STE 5
City: Dothan
State: Alabama
ZIP Code: 36301-4916
Phone: (334) 699-4007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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