Provider Demographics
NPI:1750666475
Name:SCHOOLEY, BENJAMIN L (MS)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:L
Last Name:SCHOOLEY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 GARDENIA ST
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-5712
Mailing Address - Country:US
Mailing Address - Phone:704-931-8870
Mailing Address - Fax:
Practice Address - Street 1:1017 BREAKMAKER LN
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5559
Practice Address - Country:US
Practice Address - Phone:704-931-8870
Practice Address - Fax:866-313-7602
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst