Individual
MICHELLE BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 CLIFFORD DR, FARMINGDALE, NY 11735-3304
(516) 376-5082
Mailing address
31 CLIFFORD DR, FARMINGDALE, NY 11735-3304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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