Benjamin Miller
Behavior Technician in West Fargo, ND(View on Map)
Full Name
Benjamin Miller
NPI Number
1205536943
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/09/2023
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
22-248701
Contact
Information
Purpose
Mailing
Location
Address
647 13TH AVE E
1405 PRAIRIE PKWY STE 309
City
West Fargo
West Fargo
State
ND
ND
Postal Code
58078-3328
58078-3323
Country
US
US
Telephone Number
(701) 277-8844
(701) 277-8844
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/09/2023