Shimmering Rain Bethany Bivens

NPI #1013626027 in Garden Grove, California

Provider Information

NPI Number: 1013626027
Entity Type: Individual
Name: Shimmering Rain Bethany Bivens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2025

Practice Location

Address: 12465 LEWIS ST STE 102
City: Garden Grove
State: California
ZIP Code: 92840-4658
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Behavior Technician	106S00000X	Primary

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