Individual
MRS. ANDREA DANIELLE BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA, ITDS
Contact information
Practice address
5041 SUNBURY CT, NAPLES, FL 34104-4731
(239) 250-1605
Mailing address
5041 SUNBURY CT, NAPLES, FL 34104-4731
(239) 250-1605
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0020459
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020459
BEHAVIOR ANALYST CERTIFICATION BOARD
FL
Enumeration date
11/16/2011
Last updated
03/13/2015
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