Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethlehem Desta

Individual provider Behavior Technician · NPI 1730031568

Bethlehem Desta is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Phone: (703) 237-2219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1730031568
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address225 Broadhollow Rd Ste 402, Melville, NY 11747-4899

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