Individual
BETHANY GROTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 ABERCORN ST STE 100, SAVANNAH, GA 31419-1903
(912) 221-5250
Mailing address
11605 ABERCORN ST STE 100, SAVANNAH, GA 31419-1903
(912) 221-5250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55603
GA
106S00000X
Behavior Technician
RBT-18-52562
GA
Other
Enumeration date
04/04/2018
Last updated
05/06/2024
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