Individual
MR. ANDREW JACOB BETHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 FRIDAY RD, COCOA, FL 32926-3409
(321) 888-3020
Mailing address
1865 FRIDAY RD, COCOA, FL 32926-3409
(321) 888-3020
(661) 263-4584
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50633
FL
Other
Enumeration date
08/21/2017
Last updated
10/02/2025
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