Individual
BETHANY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1126 NEW HAMPSHIRE LN, DOWNINGTOWN, PA 19335-3803
(302) 299-7169
Mailing address
1126 NEW HAMPSHIRE LN, DOWNINGTOWN, PA 19335-3803
(302) 299-7169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43934
PA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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