Bethea, Datra
Bethea, Datra is an individual health care provider with primary practice located at 3621 Marion Ln , Las Cruces NM 88012-7579. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bethea, Datra can be contacted via phone (915) 603-0794.Contact Information
Primary practice address
3621 Marion Ln
Las Cruces NM 88012-7579
Phone: (915) 603-0794
Fax: (505) 929-6200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1770320889 |
|---|---|
| LBN Legal business name | Bethea, Datra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2024 |
| Last updated | Jul 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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