Individual
MRS. BETHANY MAZUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA/LBA
Contact information
Practice address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
(540) 366-5523
Mailing address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
(540) 366-5523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000166
VA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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