NPI 1003179870

Bethany Ann Harriage

Practitioner Behavior Analyst Riverview, FL

Practice location

Address: 12026 Pennfield Pl, Riverview, FL 33579-4009
Phone: (813) 677-0011
Mailing address: 3310 Barley Ln, Lakeland, FL 33803-5994

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1003179870
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2012
Record last updated: 18 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.