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NPI Code Detail

MEDICARE: ELIANA BUSS

MEDICARE:   ELIANA  BUSS
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
1106E00000XAssistant Behavior Analyst4878TX
2106S00000XBehavior TechnicianRBT-20-137311TX
3103K00000XBehavior Analyst5081TX

General Provider Information

NPI Number : 1538745393
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIANA BUSS
Provider Business Mailing Address
First Line : 1002 JEWELL ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-3432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2790 KELLER HICKS RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9610
Country : US
Telephone Number : 940-222-8556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 01/05/2024

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Directions to “ ELIANA BUSS ” Practice Location

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