BENJAMIN FOUNTAIN

TAMPA, FL
NPI1356180103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-24-321627)
Enumeration Date2024-05-21
Last Update Date2024-05-21
Business Address
BENJAMIN FOUNTAIN
3406 W SAN PEDRO ST
TAMPA, FL 33629-7923
Phone number: 904-710-1547
Mailing Address
BENJAMIN FOUNTAIN
3406 W SAN PEDRO ST
TAMPA, FL 33629-7923
Phone number: 904-710-1547