Provider Demographics
NPI:1053649970
Name:MAURO, BENJAMIN CHARLES (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:CHARLES
Last Name:MAURO
Suffix:
Gender:M
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 FOREST GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2103
Mailing Address - Country:US
Mailing Address - Phone:301-706-1848
Mailing Address - Fax:
Practice Address - Street 1:1021 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2103
Practice Address - Country:US
Practice Address - Phone:301-706-1848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst