Individual
BETHANY FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 UTICA DR, WORCESTER, MA 01603-1622
(617) 855-1954
Mailing address
33 UTICA DR, WORCESTER, MA 01603-1622
(617) 855-1954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
RBT-17-1831-68568
MA
Other
Enumeration date
11/24/2015
Last updated
08/28/2023
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