Individual
BETHEL GEBREMARIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E MAIN ST STE 305, COLUMBUS, OH 43215-5369
(614) 355-7570
(614) 355-7580
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
03/17/2020
Last updated
05/03/2022
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