Benjamin Jacob Fagan
Benjamin Jacob Fagan is a Behavior Analyst in Lakeland, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
600 Lake Hollingsworth DrLakeland, FL 33803-2364
Phone: (844) 854-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1013578319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2019 |
| Last updated in NPPES | October 31, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108 |
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