Luke Benjamin Bussell
NPI #1174281224 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1174281224
- Entity Type
- Individual
- Name
- Luke Benjamin Bussell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 6, 2021
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 3307 19TH AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1909
- Phone
- (971) 348-3217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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