Individual
BETHANY MARIE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
Mailing address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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