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Bethany Joanna Deitz , MS, BCBA, LBA

Behavior Analyst β€’ Wilmington, NC

Active NPI 1235522442 Individual Practitioner Female Practitioner
Practice location in NPPES

3905 Independence Blvd Ste B
Wilmington, NC 284122472

Call 9482224968 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3905 Independence Blvd Ste B

Wilmington, NC 284122472

Telephone 9482224968
Organization at the Same NPPES Address or Phone
Advanceable Va Aba Llc Facility NPI 1619716206

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wilmington and North Carolina

89 active clinicians are listed under Behavior Analyst with a practice address in Wilmington, NC (2,349 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wilmington

0% of these 89 clinicians have the CMS telehealth indicator.

0% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 0133000596

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location November 14, 2025

Registered at 3905 INDEPENDENCE BLVD STE B, WILMINGTON, NC 284122472 (Tel: 9482224968)

πŸ“
Updated Business Mailing Address November 14, 2025

Registered at 125 BOYDTON PLANK DR, STEPHENS CITY, VA 226554512 (Tel: 5407717254)

πŸ“
Updated Practice Location October 27, 2018

Registered at 1651 OLD MEADOW RD, MC LEAN, VA 22102 (Tel: 8008285659)

πŸ“
Updated Business Mailing Address October 27, 2018

Registered at 110 NIGHTBIRD WAY, STEPHENS CITY, VA 226552960 (Tel: 5407717254)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2018

Behavior Analyst (license number reported to NPPES: VA 0133000596)

βœ…
NPI Profile Active April 03, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 03, 2016

Registered at 120 BELLVIEW AVE, WINCHESTER, VA 226013142 (Tel: 5405420200)

πŸ“
Business Mailing Address (Initial Record) April 03, 2016

Registered at 120 BELLVIEW AVE, WINCHESTER, VA 226013142 (Tel: 5405420200)

πŸ‘€
Provider Name / Credentials (Initial Record) April 03, 2016

Recorded as BETHANY DEITZ, MS, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2016

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration March 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235522442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2015
Last Update: November 14, 2025
Sole Proprietor: Yes

Mailing Address

125 Boydton Plank Dr

Stephens City, VA 226554512

Phone: 5407717254

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.