Individual
BETHANY ANN HARRIAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12026 PENNFIELD PL, RIVERVIEW, FL 33579-4009
(813) 677-0011
Mailing address
3310 BARLEY LN, LAKELAND, FL 33803-5994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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