NPI 1063083624

Benjamin Trad

Practitioner Assistant Behavior Analyst Richmond Hill, GA

Practice location

Address: 10164 Ford Ave STE D, Richmond Hill, GA 31324-3948
Phone: (912) 459-9999

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1063083624
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2021
Record last updated: 6 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.