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Marilyn Kay Benham, BCBA
Mental Health Counselor in Niceville, Florida
NPI 1417066457

Marilyn Kay Benham is a Mental Health Counselor based in Niceville, FL and is specialized in Mental Health. Marilyn Kay Benham practices in Niceville, FL and has the professional credentials of BCBA. The NPI Number for Marilyn Kay Benham is 1417066457 and holds a License No. (Florida).

The current practice location address for Marilyn Kay Benham is 1044 Rocky Bayou Dr, Niceville, FL and can be reached out via phone at 850-678-6773.

Location: 1044 Rocky Bayou Dr, Niceville, FL, 32578-2347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417066457
Provider Name
Marilyn Kay Benham
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
1044 Rocky Bayou Dr, Niceville, FL, 32578-2347
Phone Number
850-678-6773
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7600801 05 FL
institution
Provider Business Practice Location Address Details
Address
1044 Rocky Bayou Dr
City
Niceville
State
Florida
Zip
32578-2347
Phone Number
850-678-6773
Fax Number
person
Provider Business Mailing Address Details
Address
1044 Rocky Bayou Dr
City
Niceville
State
Florida
Zip
32578-2347
Phone Number
850-678-6773
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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