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NPI Code Detail

MEDICARE: HELENA KATHERINE BUSH BCBA

MEDICARE: HELENA KATHERINE BUSH 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1689345142
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELENA KATHERINE BUSH BCBA
Provider Business Mailing Address
First Line : 184 THOMAS LANDING RD
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9607
Country : US
Telephone Number : 302-437-4303
Fax Number :
Provider Business Practice Location Address
First Line : 2312 SECANE RD
Second Line :
City : SECANE
State : PA
Zip : 19018-2810
Country : US
Telephone Number : 267-564-5717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/24/2021

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Directions to “ HELENA KATHERINE BUSH BCBA” Practice Location

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