Madison Benham

NPI #1679388417 in Owasso, Oklahoma

Provider Information

NPI Number: 1679388417
Entity Type: Individual
Name: Madison Benham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 10, 2025
Last Updated: Feb 10, 2025

Practice Location

Address: 8787 N OWASSO EXPY
City: Owasso
State: Oklahoma
ZIP Code: 74055-4444
Phone: (918) 516-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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