MISS Bethany Street, B.S.

NPI #1700208188 in Miami, Oklahoma

Provider Information

NPI Number: 1700208188
Entity Type: Individual
Name: MISS Bethany Street, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: B.S.
Enumeration Date: Jan 20, 2014
Last Updated: Jan 20, 2014

Practice Location

Address: 111 S TREATY RD
City: Miami
State: Oklahoma
ZIP Code: 74354-5327
Phone: (918) 540-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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