Individual
BIANCA SOPHIA MORALES-BUSTILLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4129 EPSILON ST, SAN DIEGO, CA 92113-4304
(619) 761-1929
Mailing address
4129 EPSILON ST, SAN DIEGO, CA 92113-4304
(619) 761-1929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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