Bethany Marie Delact

NPI #1073077921 in Roxbury, Massachusetts

Provider Information

NPI Number: 1073077921
Entity Type: Individual
Name: Bethany Marie Delact
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 25 MORELAND ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-2382
Phone: (857) 930-9457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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