Provider Demographics
NPI:1992536973
Name:WRIGHT, BENJAMIN DAVID
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:DAVID
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1430
Mailing Address - Country:US
Mailing Address - Phone:720-299-8781
Mailing Address - Fax:
Practice Address - Street 1:3550 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1430
Practice Address - Country:US
Practice Address - Phone:720-299-8781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services