Bethany Pruitt
Behavior Technician in Perry Hall, MD. Individual provider (NPI-1).
NPI number1164097465
StatusActive
Last updated in NPPESOct 26, 2022
Details
- NPI
- 1164097465
- Entity type
- Individual (NPI-1)
- Name
- Bethany Pruitt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2021
- Certification date
- Oct 26, 2022
- Last updated
- Oct 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-112677 | MD | Yes |
Practice location
9096 Rexis AvePerry Hall, MD 21128-9021
Phone 443-453-2031 · Fax 443-216-7397
Mailing address
308 Folcroft StBaltimore, MD 21224-2801
Phone 443-453-2031 · Fax 443-216-7397
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Other Behavior Technician providers in Perry Hall, MD
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- Rachael EvansNPI 1245805563
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All 23 Behavior Technician providers in Perry Hall · All 224 providers in Perry Hall
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