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1770151821
JUSTIN RICHARD BENTON
LEXINGTON, KY
NPI
1770151821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY 285702)
Enumeration Date
2021-06-15
Last Update Date
2023-06-08
Business Address
JUSTIN RICHARD BENTON
90 SOUTHPORT DR
LEXINGTON, KY 40503-1819
Phone number: 859-303-4463
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Mailing Address
JUSTIN RICHARD BENTON
90 SOUTHPORT DR
LEXINGTON, KY 40503-1819
Phone number: 859-303-4463
Copy
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