Individual
MR. BENJAMIN BUSSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4451 PARLIAMENT PL STE A, LANHAM, MD 20706-1868
(301) 577-4333
Mailing address
859 SAINT MICHAELS DR, BOWIE, MD 20721-1964
(240) 605-7668
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
MD
Enumeration date
08/29/2022
Last updated
08/29/2022
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