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Individual
BETHANY MARIE KIMMEL
Active
Individual
BETHANY MARIE KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT, PSS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61455410
WA
106S00000X
Behavior Technician
Primary
RBT-25-486252
GA
175T00000X
Peer Specialist
CG61455410
WA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/05/2023
Last updated
10/29/2025
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