Most Relevant Information
Provider Data
| NPI Number: | 1003522384 |
| Provider Name: | DEMITA BENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2023 |
| Last Updated: | 01/30/2023 |
Provider Practice Location
905 ROBERTS CUT OFF RD
RIVER OAKS
TX
761142825
Practice Location Phone/Fax
| Phone: | 2542663021 |
| Fax: |
Provider Mailing Location
905 ROBERTS CUT OFF RD
RIVER OAKS
TX
761142825
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |