Individual
MR. JONATHAN PAYNE BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MM, MT-BC
Contact information
Practice address
12751 W COLONIAL DR, WINTER GARDEN, FL 34787-4113
(321) 370-7034
Mailing address
4016 MAGUIRE BLVD APT 3115, ORLANDO, FL 32803-7216
(615) 522-2512
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12696
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
Enumeration date
10/11/2021
Last updated
10/11/2021
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