Individual
KASSANDRA BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA LBA
Contact information
Practice address
15930 S GREAT OAKS DR, ROUND ROCK, TX 78681-5800
(512) 460-1950
Mailing address
12408 DESSAU RD APT 1108, AUSTIN, TX 78754-2239
(956) 789-5600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6023
TX
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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