Provider Demographics
NPI:1376125401
Name:GIOKAS, BETHANY ROSE (MS ED, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:ROSE
Last Name:GIOKAS
Suffix:
Gender:F
Credentials:MS ED, BCBA, LABA
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:ROSE
Other - Last Name:KRAVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED, BCBA
Mailing Address - Street 1:19 UNION ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-3423
Mailing Address - Country:US
Mailing Address - Phone:603-667-7449
Mailing Address - Fax:
Practice Address - Street 1:19 UNION ST APT 2
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-3423
Practice Address - Country:US
Practice Address - Phone:603-667-7449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA980721103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst