Individual
MS. BETHANNE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
65 WALNUT ST, WELLESLEY, MA 02481-2118
(508) 983-4090
Mailing address
380 EXCHANGE ST, MILLIS, MA 02054-1112
(508) 983-4090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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