Individual
ALEXIS BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
37 WHISTLER TRCE, PONTE VEDRA BEACH, FL 32081-8480
(904) 638-6388
Mailing address
PO BOX 668, PEMBROKE, GA 31321-0668
(912) 334-4191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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