Individual
MRS. MICHELA ANGELA BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 471-2300
(260) 471-2778
Mailing address
6337 COUNTY ROAD 12, HAMILTON, IN 46742-9724
(260) 908-2801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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