Benham, Marilyn Kay
Benham, Marilyn Kay is an sole proprietor health care provider with primary practice located at 1044 Rocky Bayou Dr , Niceville FL 32578-2347. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Benham, Marilyn Kay can be contacted via phone (850) 678-6773.Contact Information
Primary practice address
1044 Rocky Bayou Dr
Niceville FL 32578-2347
Phone: (850) 678-6773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1417066457 |
|---|---|
| LBN Legal business name | Benham, Marilyn Kay |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417066457 | NPPES |
| Florida | MEDICAID | 7600801 |
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