Individual
ELIZABETH ANN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 SPRUCE GLEN RD, LEXINGTON, SC 29072-8897
(614) 559-3961
Mailing address
393 SPRUCE GLEN RD, LEXINGTON, SC 29072-8897
(614) 559-3961
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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