Individual
BETHANY JOANNA DEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
3905 INDEPENDENCE BLVD STE B, WILMINGTON, NC 28412-2472
(948) 222-4968
Mailing address
125 BOYDTON PLANK DR, STEPHENS CITY, VA 22655-4512
(540) 771-7254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000596
VA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/12/2015
Last updated
11/14/2025
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