Individual
BETHANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6516 BROADWAY ST, SUITE 112, PEARLAND, TX 77581-7880
(303) 989-8169
Mailing address
6516 BROADWAY ST, SUITE 112, PEARLAND, TX 77581-7880
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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