Shimmering Rain Bethany Bivens, is a
Behavior Technician based in Garden Grove, California. Shimmering Rain Bethany Bivens is licensed to practice in * (Not Available) (license number ) and her current practice location is
12465 Lewis St Ste 102, Garden Grove, California. She can be reached at her office (for appointments etc.) via phone at
(855) 223-7123.
NPI number for Shimmering Rain Bethany Bivens is 1013626027 and her current mailing address is 16782 Von Karman Ave Ste 11, Irvine, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013626027.
Healthcare Provider's Profile
| Full Name | Shimmering Rain Bethany Bivens |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 12465 Lewis St Ste 102, Garden Grove, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013626027
- Provider Enumeration Date: 11/17/2022
- Last Update Date: 11/17/2025
Medical Identifiers
Medical identifiers for Shimmering Rain Bethany Bivens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013626027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 158560 (California) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shimmering Rain Bethany Bivens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shimmering Rain Bethany Bivens, 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 Ph: (855) 223-7123 | Shimmering Rain Bethany Bivens, 12465 Lewis St Ste 102, Garden Grove, CA 92840-4658 Ph: (855) 223-7123 |
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