Individual
AMANDA CHRISTINA BUSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12395 LEWIS ST, GARDEN GROVE, CA 92840-6600
(714) 867-6384
Mailing address
2175 S MALLUL DR APT 341, ANAHEIM, CA 92802-4646
(562) 623-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
11/27/2023
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