Smith, Bethany Grace

Smith, Bethany Grace is an individual health care provider with primary practice located at 260 S. Marion Avenue Building A, Suite 135, Lake City FL 32025. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Smith, Bethany Grace can be contacted via phone (352) 373-4411.

Contact Information

Primary practice address
260 S. Marion Avenue Building A, Suite 135 Lake City FL 32025
Phone: (352) 373-4411
Fax: (352) 373-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1477195543
LBN Legal business name Smith, Bethany Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2019
Last updated Oct 10th, 2019 - about 5 years ago

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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