BENJAMIN JACOB FAGAN

LAKELAND, FL
NPI1013578319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2019-06-26
Last Update Date2023-10-31
Business Address
BENJAMIN JACOB FAGAN
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33803-2364
Phone number: 844-854-1116
Mailing Address
BENJAMIN JACOB FAGAN
1500 S DOUGLAS RD STE 230
CORAL GABLES, FL 33134-4108
Phone number: 844-244-1818
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