Individual
BETHANY D'ALESSANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
(269) 355-6621
Mailing address
7974 W Q AVE, KALAMAZOO, MI 49009-8927
(708) 712-9374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/10/2020
Last updated
07/11/2024
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