Individual
BETHANY DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 TENNYSON PKWY, PLANO, TX 75024-3151
(469) 998-6411
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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