Individual
ISSA BEATRICE T BUSTRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Mailing address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/29/2024
Last updated
06/19/2026
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