Provider Demographics
NPI:1558257899
Name:KIBIGER, BETHANY
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:KIBIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 STEVEN DR
Mailing Address - Street 2:
Mailing Address - City:LENHARTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19534-9265
Mailing Address - Country:US
Mailing Address - Phone:610-597-2055
Mailing Address - Fax:
Practice Address - Street 1:31 WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1381
Practice Address - Country:US
Practice Address - Phone:929-224-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst