Provider Information for 1801042825
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Mrs. CELENA BENJAMIN LMHC, BCBA, NCC
Sex: Female
NPI: 1801042825
Last Updated: 2018-07-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801042825 | ||||||||||||
| Enumeration Date | 2008-08-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 950 6TH LN VERO BEACH, FL 32962-1583 United States Phone: 772-713-4031 | Fax: | ||||||||||||
| Primary Practice Address | 950 6TH LN VERO BEACH, FL 32962 United States Phone: 772-713-4031 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 210 S AZALEA AVE | ||||||||||||
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