Individual
BETHANY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2565 ALLUVIAL AVE STE 152, CLOVIS, CA 93611
(559) 348-9225
Mailing address
2565 ALLUVIAL AVE STE 152, CLOVIS, CA 93611-9514
(559) 348-9225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
07/19/2018
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