Individual
BETHANY MADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 W HILLCREST DR STE 110, THOUSAND OAKS, CA 91360-7824
(805) 379-1401
Mailing address
299 W HILLCREST DR STE 110, THOUSAND OAKS, CA 91360-7824
(805) 379-1401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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