Individual
ALEXIS BUSCHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
701 S LOUISIANA ST, KENNEWICK, WA 99336-5198
(509) 727-2650
Mailing address
701 S LOUISIANA ST, KENNEWICK, WA 99336-5198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60671005
WA
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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