Individual
BETHANY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1012 GA HIGHWAY 247 S, KATHLEEN, GA 31047-2349
(478) 732-1315
Mailing address
215 GLENEAGLE DR, BYRON, GA 31008-3810
(478) 732-1315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-2828021
GA
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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