Most Relevant Information
Provider Data
| NPI Number: | 1003635459 |
| Provider Name: | ROBERT ANTHONY BENAVIDES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
39510 PASEO PADRE PKWY STE 190
FREMONT
CA
945384716
Practice Location Phone/Fax
| Phone: | 5104035916 |
| Fax: |
Provider Mailing Location
39510 PASEO PADRE PKWY STE 190
FREMONT
CA
945384716
Provider Mailing Phone/Fax
| Phone: | 5104035916 |
| Fax: |