Individual
ELIANA BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 KELLER HICKS RD, FORT WORTH, TX 76244-9610
(940) 222-8556
Mailing address
1002 JEWELL ST, AUSTIN, TX 78704-3432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5081
TX
106E00000X
Assistant Behavior Analyst
4878
TX
106S00000X
Behavior Technician
RBT-20-137311
TX
Other
Enumeration date
03/22/2021
Last updated
01/05/2024
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