Shanlesa Bethea
Behavior Technician in Killeen, TX. Individual provider (NPI-1).
NPI number1255083010
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1255083010
- Entity type
- Individual (NPI-1)
- Name
- Shanlesa Bethea
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1020 Trimmier RdKilleen, TX 76541-8029
Phone 254-554-1466
Mailing address
1020 Trimmier RdKilleen, TX 76541-8029
Phone 254-554-1466
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