Individual
THULISILE BUTHELEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBS
Contact information
Practice address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
(610) 889-9726
Mailing address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
(610) 889-9726
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44472
CO
106S00000X
Behavior Technician
RBT-18-57925
NJ
Other
Enumeration date
07/31/2018
Last updated
03/01/2022
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