Individual
BETHANY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FORBES DR, HOPKINSVILLE, KY 42240-7200
(270) 215-5945
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 247-5487
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-280964
KY
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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