Individual
MS. BETHANY LOREN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10015 OLD COLUMBIA ROAD, SUITE B215, COLUMBIA, MD 21046
(443) 800-4985
Mailing address
3717 BOSTON ST # 148, BALTIMORE, MD 21224-5752
(443) 800-4985
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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