Provider Demographics
NPI:1316377138
Name:CONDO-ALOBAID, BETHANY L (BCBA)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:L
Last Name:CONDO-ALOBAID
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20400 OBSERVATION DR STE 104
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4086
Mailing Address - Country:US
Mailing Address - Phone:814-449-9437
Mailing Address - Fax:
Practice Address - Street 1:20400 OBSERVATION DR STE 104
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4086
Practice Address - Country:US
Practice Address - Phone:301-540-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst