Kyndal Marie Benson
Behavior Technician in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1619708187
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1619708187
- Entity type
- Individual (NPI-1)
- Name
- Kyndal Marie Benson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2024
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
308 N Aspen AveBroken Arrow, OK 74012-2205
Phone 539-777-0940
Mailing address
308 N Aspen AveBroken Arrow, OK 74012-2205
Phone 539-777-0940
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