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Individual
MATTHEW ZACKARY BETHELL
Active
Individual
MATTHEW ZACKARY BETHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
106H00000X
Marriage & Family Therapist
Primary
132252
CA
Other
Enumeration date
02/23/2018
Last updated
04/21/2022
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