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1356789531
BENJAMIN PHILLIP DAVIS
BEREA, KY
NPI
1356789531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY 251789)
Enumeration Date
2013-06-10
Last Update Date
2019-07-06
Business Address
BENJAMIN PHILLIP DAVIS
1126 BREEZY LN
BEREA, KY 40403-8659
Phone number: 606-875-1420
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Mailing Address
BENJAMIN PHILLIP DAVIS
1126 BREEZY LN
BEREA, KY 40403-8659
Phone number: 606-875-1420
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