Individual
BETHLEHEM TESFAYE ALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 WILLIAMSBURG TER STE F, PLATTE CITY, MO 64079-7635
(816) 469-5162
Mailing address
4745 NW RIVERSIDE DR, RIVERSIDE, MO 64150-1101
(816) 824-2992
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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