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Individual

KELLY JO BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2298 YOUNG AVE, MEMPHIS, TN 38104-5755
(615) 237-2550
Mailing address
183 DYERSBURG HWY, TRENTON, TN 38382-5905

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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