Individual
UNIQUE BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 E 184TH ST APT 809, BRONX, NY 10458-7419
(917) 771-8668
Mailing address
365 E 184TH ST APT 809, BRONX, NY 10458-7419
(917) 771-8668
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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