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1235522442
BETHANY DEITZ
MC LEAN, VA
NPI
1235522442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: VA 0133000596)
Additional Taxonomies
251S00000X
Enumeration Date
2015-03-12
Last Update Date
2018-10-27
Business Address
BETHANY DEITZ MS, BCBA, LBA
1651 OLD MEADOW RD
MC LEAN, VA 22102
Phone number: 800-828-5659
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Mailing Address
BETHANY DEITZ MS, BCBA, LBA
110 NIGHTBIRD WAY
STEPHENS CITY, VA 22655-2960
Phone number: 540-771-7254
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