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Individual

BETHANY DICKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1449 W VICTORIA ST APT 1B, CHICAGO, IL 60660-4288
(301) 466-9704
Mailing address
1449 W VICTORIA ST APT 1B, CHICAGO, IL 60660-4288

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-28384
IL

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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