Bethany Dicken, RBT

NPI #1154813723 in Chicago, Illinois

Provider Information

NPI Number: 1154813723
Entity Type: Individual
Name: Bethany Dicken, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: May 30, 2018
Last Updated: May 30, 2018

Practice Location

Address: 1449 W VICTORIA ST APT 1B
City: Chicago
State: Illinois
ZIP Code: 60660-4288
Phone: (301) 466-9704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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