Individual
ERICA ANN BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 SOMERSET BLVD W, BARGERSVILLE, IN 46106-9061
(260) 444-9022
(260) 444-9022
Mailing address
5850 SOMERSET BLVD W, BARGERSVILLE, IN 46106-9061
(260) 444-9022
(260) 444-9022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27995
IN
Other
Enumeration date
06/06/2018
Last updated
07/20/2023
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