Healthcare Provider Details

I. General information

NPI: 1902565047
Provider Name (Legal Business Name): BUSE KAHYAOGLU-FARAH BCBA, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S DEKALB ST STE A
SHELBY NC
28150-6189
US

IV. Provider business mailing address

621 S DEKALB ST STE A
SHELBY NC
28150-6189
US

V. Phone/Fax

Practice location:
  • Phone: 704-529-9090
  • Fax:
Mailing address:
  • Phone: 704-529-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-70506
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.01361
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: