Provider Demographics
NPI:1164009833
Name:ZUBALY, BENJAMIN JAMES (RBT)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:JAMES
Last Name:ZUBALY
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 1:157 S HOWARD ST STE 310
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-4421
Mailing Address - Country:US
Mailing Address - Phone:800-781-5536
Mailing Address - Fax:208-620-3985
Practice Address - Street 1:157 S HOWARD ST STE 310
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4421
Practice Address - Country:US
Practice Address - Phone:800-781-5536
Practice Address - Fax:208-620-3985
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-21-159736106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician