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Benjamin Hubbard Coll, BCBA

Individual provider Active NPI Behavior Analyst · South Charleston, WV

NPI 1942865142 · NPPES record last updated May 3, 2019

Key facts

NPI
1942865142
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-19-35726 (WV)
Practice address
325 6TH Ave
South Charleston, WV 25303-1231
Phone
(304) 720-3383
Fax
(304) 720-3781
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Learning Center Behavior Analyst Past Accepting new patients
Solutions Positive Behavior Strategies Past
since Nov 5, 2023		 Accepting new patients
Autism Service Center Past Accepting new patients
Autism Services Center Past Accepting new patients
Autism Services Center, Inc. Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-35726 WV Yes

Addresses

Primary practice location

325 6TH Ave
South Charleston, WV 25303-1231

Mailing address

325 6TH Ave
South Charleston, WV 25303-1231
Phone (304) 720-3383

Other providers in South Charleston, WV

All providers in South Charleston, WV · Behavior Analyst in West Virginia

Sources for this page

Verify at the official NPI Registry.