Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003457847 |
---|---|
Provider Name | Benson Moskowitz |
First Address | Stuart, FL 34997-7462 |
Second Address | Red Bank, NJ 07701-6749 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 05/11/2021 |