Bethany R Bingham

Individual provider Active NPI Behavior Technician · Zeeland, MI

NPI 1710620752 · NPPES record last updated Apr 18, 2022

Key facts

NPI
1710620752
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
126 E Main Ave
Zeeland, MI 49464-1736
Phone
(616) 970-4172
NPI assigned
Apr 18, 2022
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

126 E Main Ave
Zeeland, MI 49464-1736

Mailing address

126 E Main Ave
Zeeland, MI 49464-1736

Other providers in Zeeland, MI

All providers in Zeeland, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.