Individual
BETHANY OLIVIA O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
481 ELMA G MILES PKWY STE B, HINESVILLE, GA 31313-4004
(912) 532-9774
(912) 221-3085
Mailing address
103 W GENERAL SCREVEN WAY, STE G PMB 1098, HINESVILLE, GA 31313-4004
(912) 532-9774
(912) 221-3085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-399695
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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