Individual
KIMBERLY BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 MOODY ST, NORTH ANDOVER, MA 01845-1713
(978) 979-2208
(978) 208-7207
Mailing address
129 MOODY ST, NORTH ANDOVER, MA 01845-1713
(978) 979-2208
(978) 208-7207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12407
MA
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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