Bethany Joanna Deitz, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000596 Issued in VA

Practice address

3905 Independence Blvd Ste B
Wilmington, NC 28412-2472

Phone

(948) 222-4968

NPI assigned

Mar 12, 2015

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1235522442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BOYDTON PLANK DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554512",
            "telephone_number": "540-771-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 INDEPENDENCE BLVD STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122472",
            "telephone_number": "948-222-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "BETHANY",
        "middle_name": "JOANNA",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000596",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Forrest Degroote, DDS
• Elizabeth Weaver Dehmer, M.D.
• Jeffrey Joseph Dehmer, MD
• Meredith Deily, PA-C
• Deirdre W. Street, LLC
• Sheila Debose Deitz
• Elaine Del Castillo Matos, PA
• Crystal Leigh Delacruz
• Delaney Radiologists Group PLLC
• Delaney Radiologists PA

• Behavior Analyst in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.