Most Relevant Information
Provider Data
| NPI Number: | 1003179870 |
| Provider Name: | BETHANY ANN HARRIAGE |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2012 |
| Last Updated: | 06/18/2012 |
Provider Practice Location
12026 PENNFIELD PL
RIVERVIEW
FL
335794009
Practice Location Phone/Fax
| Phone: | 8136770011 |
| Fax: |
Provider Mailing Location
3310 BARLEY LN
LAKELAND
FL
338035994
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |