Gina Bennett

NPI #1508319385 in The Dalles, Oregon

Provider Information

NPI Number: 1508319385
Entity Type: Individual
Name: Gina Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 309 E 2ND ST
City: The Dalles
State: Oregon
ZIP Code: 97058-2107
Phone: (541) 298-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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