NPI 1003307851
Alexia Elissa Bustamante
Practice location
- Address
- 3400 State St STE G750, Salem, OR 97301-7012
- Phone
- (000) 000-0000
- Mailing address
- 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807
Registered specialties (2)
Behavior Analyst
Primary
Behavior Analyst
Registry record
- NPI
- 1003307851
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 May 2018
- Record last updated
- 27 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.