Individual
JENNIFER JOY BETHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS. RBT
Contact information
Practice address
2200 SAINT JAMES PL, PHILADELPHIA, PA 19103-5860
(856) 616-9442
Mailing address
423 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1706
(856) 616-9442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005208
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH005208
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
02/09/2021
Last updated
02/09/2021
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