Alexia Elissa Bustamante

NPI #1003307851 in Salem, Oregon

Provider Information

NPI Number
1003307851
Entity Type
Individual
Name
Alexia Elissa Bustamante
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Enumeration Date
May 27, 2018
Last Updated
May 27, 2018

Practice Location

Address
3400 STATE ST STE G750
City
Salem
State
Oregon
ZIP Code
97301-7012
Phone
(000) 000-0000

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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