Individual
AVA ELIZABETH BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(706) 691-1049
(706) 691-1049
Mailing address
6229 ROBISON RD, CINCINNATI, OH 45213-1725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010003RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
02/19/2026
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