Individual
MARY BETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
32755 KENSINGTON CT, FRANKFORD, DE 19945-3659
(302) 841-9779
Mailing address
10514 RACETRACK RD, BERLIN, MD 21811-3241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-61910
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
08/31/2018
Last updated
08/31/2018
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