Isis Bethea

Individual provider Active NPI Behavior Technician · Farmingdale, NY

NPI 1821552340 · NPPES record last updated Jan 29, 2019

Key facts

NPI
1821552340
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995
Phone
(718) 264-1640
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New York Therapy Placement Services Inc Past Accepting new patients
New York Therapy Placement Services Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995

Mailing address

500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995
Phone (718) 264-1640

Other providers in Farmingdale, NY

All providers in Farmingdale, NY · Behavior Technician in New York

Sources for this page

Verify at the official NPI Registry.