Kenndall Bethel

NPI #1073345369 in South Bend, Indiana

Provider Information

NPI Number: 1073345369
Entity Type: Individual
Name: Kenndall Bethel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2024
Last Updated: Aug 15, 2024

Practice Location

Address: 17551 GENERATIONS DR
City: South Bend
State: Indiana
ZIP Code: 46635-1589
Phone: (574) 400-2169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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