Keona Bussey

NPI #1720848880 in Lakeland, Georgia

Provider Information

NPI Number: 1720848880
Entity Type: Individual
Name: Keona Bussey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 19, 2024
Last Updated: Mar 19, 2024

Practice Location

Address: 32 W MAIN ST
City: Lakeland
State: Georgia
ZIP Code: 31635-6835
Phone: (800) 832-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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