Female

Marilyn K. Benham BCBA

Mental Health Counselor in Niceville, FL(View on Map)

Full Name

Marilyn Kay Benham BCBA

NPI Number

1417066457

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/30/2006

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1044 ROCKY BAYOU DR
1044 ROCKY BAYOU DR

City

Niceville
Niceville

State

FL
FL

Postal Code

32578-2347
32578-2347

Country

US
US

Telephone Number

(850) 678-6773
(850) 678-6773

Identifiers

Identifier

7600801

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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