Individual
WILLIAM BUSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 JOHNSON FERRY PL, MARIETTA, GA 30068-2048
(404) 442-2068
Mailing address
1230 JOHNSON FERRY PL, MARIETTA, GA 30068-2048
(404) 442-2068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58796
NY
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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