Liezel Bush

NPI #1003516394 in West Covina, California

Provider Information

NPI Number: 1003516394
Entity Type: Individual
Name: Liezel Bush
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 1000 LAKES DR STE 320
City: West Covina
State: California
ZIP Code: 91790-2938
Phone: (888) 428-3223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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