Individual
BRAXTON EMON BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14785 PRESTON RD STE 550, DALLAS, TX 75254-7899
(303) 989-8172
Mailing address
14785 PRESTON RD STE 550, DALLAS, TX 75254-7899
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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