Individual
BETHANY BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 IRA TURNER RD, LEAKESVILLE, MS 39451-3061
(251) 340-2020
Mailing address
308 IRA TURNER RD, LEAKESVILLE, MS 39451-3061
(251) 340-2020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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