Individual
BETHANY LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 S OLD WIRE RD, RED SPRINGS, NC 28377-8377
(472) 248-3782
Mailing address
807 S OLD WIRE RD, RED SPRINGS, NC 28377-8377
(472) 248-3782
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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