ETHAN BELL
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1457951469- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 310 E BROADWAY AVE, JACKSON, WY, 830018636
- Phone
- (307) 257-5487
Specialties & Taxonomies
Behavior Technician
Primary License: WY #RBT-20-142304
All Addresses
MAILING
310 E BROADWAY AVE
JACKSON, WY, 830018636