NPI 1497626105

Mya M Bush

Practitioner Behavior Technician Waukesha, WI

Practice location

Address: 1846 Oakdale Dr, Waukesha, WI 53189-7209
Phone: (262) 420-7432

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1497626105
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2025
Record last updated: 16 Sep 2025

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.