Deitz, Bethany Joanna

Deitz, Bethany Joanna is an sole proprietor health care provider with primary practice located at 3905 Independence Blvd Ste B , Wilmington NC 28412-2472. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Deitz, Bethany Joanna can be contacted via phone (948) 222-4968.

Contact Information

Primary practice address
3905 Independence Blvd Ste B Wilmington NC 28412-2472
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000596 Virginia
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1235522442
LBN Legal business name Deitz, Bethany Joanna
Credentials MS, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2015
Last updated Nov 14th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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