NPI 1215790936

Breanna M Bush

Practitioner Behavior Analyst Fargo, ND

Practice location

Address: 300 45th St S, Fargo, ND 58103-1189
Phone: (516) 535-9510
Mailing address: 423 Atlantic Ave, Freeport, NY 11520-5216

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in North Dakota →

Registry record

NPI: 1215790936
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2024
Record last updated: 5 Feb 2024

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.