Provider Demographics
NPI:1124825732
Name:KIMBRIL, BETHANY N (BT)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:N
Last Name:KIMBRIL
Suffix:
Gender:
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 ACADEMY DR NW APT 602
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-2810
Mailing Address - Country:US
Mailing Address - Phone:334-623-4559
Mailing Address - Fax:
Practice Address - Street 1:2610 ACADEMY DR NW APT 602
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-2810
Practice Address - Country:US
Practice Address - Phone:334-623-4559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician