Olivo Bustamante

NPI #1619752540 in Forney, Texas

Provider Information

NPI Number: 1619752540
Entity Type: Individual
Name: Olivo Bustamante
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 29, 2023
Last Updated: Aug 29, 2023

Practice Location

Address: 709 W BROAD ST
City: Forney
State: Texas
ZIP Code: 75126-9148
Phone: (469) 458-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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