Individual
AMMANDA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Mailing address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2018
Last updated
03/29/2023
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