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NPI Code Detail

MEDICARE: TERESA ROSE BUSS BCBA

MEDICARE: TERESA ROSE BUSS BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-21-48123IN

General Provider Information

NPI Number : 1255961884
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA ROSE BUSS BCBA
Provider Business Mailing Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 312-243-8487
Fax Number :
Provider Business Practice Location Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 312-243-8487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2020
Last Update Date : 03/06/2025

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Directions to “ TERESA ROSE BUSS BCBA” Practice Location

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