Individual
MAKIEYA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 AMANDA MEADOW CT, HERMITAGE, TN 37076-3735
(615) 249-4794
(615) 249-4794
Mailing address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(505) 392-3482
(505) 392-3482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
12/02/2025
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