Individual
BETHANY JAYNE GINGELL CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HOPE RD, STAFFORD, VA 22554-7287
(813) 244-0582
Mailing address
208 GETTYSBURG CT, STAFFORD, VA 22554-8473
(571) 263-9828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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