Bethany Joy Bingham

Individual provider Active NPI Behavior Technician · Westchase, FL

NPI 1124591433 · NPPES record last updated Jan 9, 2019

Key facts

NPI
1124591433
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314
Phone
(866) 610-0580
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314

Mailing address

175 Middle St Unit 1201
Lake Mary, FL 32746-3625
Phone (866) 610-0580

Other names

  • Miss Bethany Joy Freeman Former name

Other providers in Westchase, FL

All providers in Westchase, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.