Individual
GEOA BUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4879 CLAY ST, DENVER, CO 80221-1217
(720) 220-2811
Mailing address
4879 CLAY ST, DENVER, CO 80221-1217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52544
CO
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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