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Individual

BETHANY STUART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
(303) 759-1192
Mailing address
2001 HOYT ST, LAKEWOOD, CO 80215-1639

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56665
CO
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009093700
FL
Enumeration date
07/23/2017
Last updated
07/27/2022
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