NPI 1003631623

Bethany Mae Fairchild

Practitioner Assistant Behavior Analyst Brooklyn, NY

Practice location

Address: 6214 24th Ave, Brooklyn, NY 11204-3319
Phone: (212) 481-4040

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1003631623
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2024
Record last updated: 18 Dec 2024

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.