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Individual

BETHANY MARIE KIMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, RBT, PSS

Contact information

Practice address
1933 WYNNTON RD, COLUMBUS, GA 31906-2964
(843) 338-0132
Mailing address
1400 BOXWOOD BLVD APT 5103, COLUMBUS, GA 31906-2345

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61455410
WA
106S00000X
Behavior Technician
Primary
RBT-25-486252
GA
175T00000X
Peer Specialist
CG61455410
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/05/2023
Last updated
10/29/2025
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