Provider Demographics
NPI:1164133286
Name:TERHUNE, BENJAMINE N (RBT)
Entity Type:Individual
Prefix:
First Name:BENJAMINE
Middle Name:N
Last Name:TERHUNE
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 GIBBON ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-6516
Mailing Address - Country:US
Mailing Address - Phone:406-431-0092
Mailing Address - Fax:
Practice Address - Street 1:2685 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-1262
Practice Address - Country:US
Practice Address - Phone:406-442-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRBT-22-232377106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTRBT-OtherRBT-22-232377